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 pain management in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. This is because all the options listed - undertreatment of pain, overtreatment of pain, and use of alternative therapies without informed consent - are potential ethical issues in pain management in maternal and newborn healthcare. Undertreatment can lead to unnecessary suffering, while overtreatment can result in harm or adverse effects. The use of alternative therapies without informed consent violates the principle of autonomy and informed decision-making.
Therefore, considering all these factors, option D encompasses all the possible ethical issues related to pain management in this context.
Question 2 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D, "Wash your baby’s face with plain water." This instruction is important to prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe.
Rationale:
1. Bathing the baby immediately after a feeding (Option
A) is not recommended as it can lead to discomfort and potential regurgitation.
2. Placing a bumper pad in the baby's crib (Option
B) poses a suffocation risk and is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
3. Putting a soft mattress in the baby's crib (Option
C) increases the risk of suffocation and SIDS. Firm mattresses are recommended for safe sleep.
In summary, washing the baby's face with plain water is the correct instruction as it promotes good hygiene without risking harm to the baby. The other options are incorrect as they pose safety risks or are not recommended practices for newborn care
Question 3 of 5
Which of the following is a potential complication of neonatal hypernatremia?
Correct Answer: C
Rationale: Neonatal hypernatremia can lead to dehydration due to excessive sodium levels.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 4 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Insert a large bore intravenous catheter. | ||
| Assess cervical dilation. | ||
| Weigh perineal pads. | ||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: Inserting a large bore IV catheter is indicated to manage potential hemorrhage. Weighing perineal pads helps quantify blood loss. Assessing cervical dilation is contraindicated as it may exacerbate bleeding. Administering methotrexate is not relevant in this context.
Extract:
Question 5 of 5
Which of the following is a potential cause of recurrent pregnancy loss?
Correct Answer: D
Rationale: Recurrent pregnancy loss can be caused by chromosomal abnormalities, immunologic factors, or environmental factors.