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 neonatal organ donation?
Correct Answer: A
Rationale: Informed consent is a key ethical issue in neonatal organ donation.
Question 2 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can potentially cause further trauma and delay healing. This area needs to be protected to prevent infection and promote proper healing.
A: Vaginal candidiasis is not a contraindication for using a suppository.
B: Abdominal distention does not directly contraindicate the use of a suppository.
C: Afterpains are common postpartum and do not prevent the use of a suppository.
In summary, the other choices are incorrect because they do not pose immediate risks to the client's health or interfere with the administration of a suppository as compared to a third-degree perineal laceration.
Extract:
The nurse continues to care for the client who is at 30 weeks of
gestation.
Exhiont 2
Vital Signs
1000:
Temperature 37.4"C（99.3*F)
Heart rate 90/min
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 95% on room air
1100:
Temperature 37° C (98.6° F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 156/96 mm Hg
Oxygen saturation 94% on room air
1400:
Temperature 37.2°C（98.9*F）
Heart rate 80/min
Respiratory rate 14/min
Blood pressure 170/112 mm Hg
oxygen saturation 92% on room air
Question 3 of 5
Complete the following sentence by using the list of options. Based on the client findings, the nurse should first admister-----------------and then prepare to administer-----------------------
Correct Answer: B,A
Rationale:
Rationale:
First administer hydralazine ✅
The client is experiencing severe hypertension (BP 170/112 mm Hg at 1400), which indicates preeclampsia with severe features.
Hydralazine is a fast-acting antihypertensive that helps lower blood pressure and reduce the risk of stroke, placental abruption, or fetal compromise.
Then prepare to administer calcium gluconate ✅
If the client is receiving magnesium sulfate for seizure prevention (common in severe preeclampsia), calcium gluconate is the antidote in case of magnesium toxicity (which can cause respiratory depression or cardiac arrest).
The nurse should have calcium gluconate readily available in case of toxicity signs like loss of deep tendon reflexes, respiratory depression, or cardiac arrhythmias.
Notify the provider 🚨
The severely elevated BP (170/112 mm Hg) and potential risk for eclampsia (seizures) require immediate provider notification for further management.
Extract:
Question 4 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: Swelling of the face can be a sign of preeclampsia, a serious condition that requires immediate medical attention.
Question 5 of 5
What is the recommended age for the first hepatitis B vaccine for a newborn?
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. The rationale behind this is that the first dose of hepatitis B vaccine is recommended to be administered within 24-48 hours after birth to provide early protection. This timing is crucial as newborns are at risk of contracting hepatitis B from their mothers during childbirth. Administering the vaccine soon after birth helps prevent transmission and ensures the baby's immune system starts developing protection against the virus.
Choices A, C, and D are incorrect because delaying the vaccine beyond the first 48 hours increases the risk of infection.