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: Legal issues include informed consent, patient confidentiality, and medical malpractice.
Question 2 of 5
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during any trimester of pregnancy to protect both the mother and the baby.
Question 3 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a crucial symptom to report as it could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Headaches in preeclampsia are often severe and persistent. Shortness of breath (
A) can be common in late pregnancy due to the growing uterus but is not necessarily a sign of a complication. Swelling of feet and ankles (
B) is also common in pregnancy and mostly due to fluid retention. Braxton Hicks contractions (
D) are normal, irregular contractions that do not signify labor.
Question 4 of 5
What is the recommended method of feeding for a term infant?
Correct Answer: A
Rationale: Breastfeeding is the recommended method for term infants due to numerous benefits such as optimal nutrition, immune system support, bonding, and reduced risk of infections and chronic diseases. Breast milk is tailored to the infant's needs, easily digestible, and promotes healthy growth and development. Formula feeding lacks the immune-boosting properties of breast milk and may increase the risk of allergies and obesity. Bottle feeding with breast milk is a viable alternative to breastfeeding, but direct breastfeeding offers additional benefits like skin-to-skin contact and enhanced milk production. Parenteral nutrition is not suitable for term infants as it involves delivering nutrients intravenously and is typically reserved for premature infants or those with specific medical conditions.
Question 5 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.