ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, potential legal issues include informed consent, where patients must be fully informed before medical procedures. Medical malpractice can occur if healthcare providers fail to meet the standard of care. Abandonment is a legal issue if healthcare providers neglect patients after agreeing to provide care. Choosing D is correct because all the mentioned issues are relevant to maternal and newborn healthcare legal concerns.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is essential during a nonstress test to monitor the fetal heart rate in response to movement. Pressing the button helps correlate fetal heart rate changes with fetal movements. Maintaining the client NPO (
Choice
A) is not necessary for a nonstress test. Placing the client in a supine position (
Choice
B) can decrease blood flow to the fetus. Instructing the client to massage the abdomen (
Choice
C) may alter the test results by artificially stimulating fetal movements.
Question 3 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, particularly those born at 26 weeks of gestation, their muscle tone is typically low, leading to minimal arm recoil. This is a key characteristic assessed in the New Ballard Score to determine gestational age accurately. The other choices are incorrect because: B: A popliteal angle of 90° is more indicative of term infants; C: Creases over the entire foot sole are also seen in term infants; D: Raised areolas with 3 to 4 mm buds are features of newborns closer to term. Thus, A is the most appropriate finding for a newborn born at 26 weeks of gestation based on the New Ballard Score.
Question 4 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the drug. It occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not commonly associated with clomiphene citrate use. Tinnitus is more commonly linked to ear problems, urinary frequency may be due to other factors, and chills are not a typical side effect of this medication.
Question 5 of 5
Which of the following is a potential barrier to patient-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to patient-centered care include lack of cultural competence, provider bias, and limited resources.