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 informed consent in maternal and newborn healthcare?
Correct Answer: D
Rationale: All of the above are potential legal issues related to informed consent. Lack of capacity, coercion, and failure to disclose risks and benefits can all invalidate consent and lead to legal consequences.
Question 2 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return by reducing pressure on the vena cava, thus increasing cardiac output and blood pressure. It prevents supine hypotensive syndrome.
B: Applying oxygen won't directly address hypotension caused by epidural anesthesia.
C: Massaging the fundus is not relevant for treating hypotension related to epidural anesthesia.
D: Assisting the client to empty the bladder may be needed, but it won't directly address hypotension.
Question 3 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.
Question 4 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Eliminating dairy products may help reduce nausea and vomiting in clients with hyperemesis gravidarum, as dairy can sometimes exacerbate these symptoms.
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps reduce swelling, promote healing, and provide comfort for the client with a fourth-degree laceration. A warm compress improves blood flow to the area, which aids in the healing process. It also provides pain relief and promotes relaxation.
Choice B is incorrect because a cool sitz bath may not be appropriate for a fourth-degree laceration as it can constrict blood vessels and slow healing.
Choice C is incorrect because methylergonovine is a medication used to prevent or control postpartum hemorrhage, not specifically for perineal laceration.
Choice D is incorrect because applying povidone-iodine may be too harsh for the sensitive perineal area and can potentially irritate the wound.
In summary, applying a moist, warm compress is the most appropriate and beneficial intervention for a client with a fourth-degree perineal laceration postpart