ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a potential ethical issue related to maternal request for cesarean delivery?
Correct Answer: A
Rationale: The ethical issue of autonomy versus beneficence arises when a mother's request for a cesarean delivery conflicts with medical recommendations. Respecting patient autonomy while ensuring beneficence (doing what is best for the patient) can create ethical dilemmas.
Question 2 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A: You should have your provider refit you for a new diaphragm.
Rationale: It is crucial for the nurse to advise the postpartum client to have her provider refit her for a new diaphragm as the body undergoes changes after childbirth. The size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. Using an ill-fitting diaphragm can lead to ineffective contraception and potential risks.
Therefore, ensuring a proper fit by the provider is essential for the client's safety and contraceptive efficacy.
Summary of Incorrect
Choices:
B: Using an oil-based vaginal lubricant can degrade the diaphragm material, leading to damage and reducing its effectiveness.
C: Keeping the diaphragm in place for an extended period can increase the risk of toxic shock syndrome. It is recommended to remove it within 24 hours to prevent complications.
D: Storing the diaphragm in sterile water is not necessary and may
Question 3 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: Performing Leopold maneuvers helps the nurse determine the fetal position and presentation, which is essential for accurate placement of the external transducer.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.
Question 5 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because emptying the bladder before amniocentesis helps reduce the risk of injury to the bladder during the procedure.
Choice B is incorrect because the client will typically lie on their back during amniocentesis.
Choice C is incorrect because the client is usually awake during the procedure.
Choice D is incorrect because fasting is not typically required before amniocentesis.