ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Collaboration with patients and families enhances patient-centered care, continuity of care ensures seamless transitions in healthcare delivery, and cultural competence promotes understanding and respect for diverse beliefs and practices. These three standards are crucial in maternal and newborn healthcare to ensure holistic, safe, and effective care. Choosing any single option would overlook the importance of the other standards, leading to potential gaps in care delivery.
Therefore, selecting all of the above ensures comprehensive adherence to professional standards in nursing practice for maternal and newborn healthcare.
Question 2 of 5
What is the recommended method of screening for gestational diabetes?
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test (OGTT) is the recommended method for screening gestational diabetes. OGTT involves measuring blood glucose levels after fasting and again 1-2 hours after consuming a glucose drink. This test is considered the gold standard for diagnosing gestational diabetes as it provides a more comprehensive assessment of glucose tolerance compared to other methods.
A: Random blood glucose test is not recommended for screening as it does not provide a reliable indication of glucose tolerance.
B: Fasting blood glucose test only provides a snapshot of glucose levels at a specific point in time and may miss cases of gestational diabetes.
D: Hemoglobin A1C test measures average blood glucose levels over several months and is not specific for diagnosing gestational diabetes.
In summary, OGTT is preferred for its ability to detect gestational diabetes accurately by assessing glucose tolerance levels before and after consuming a glucose load, making it the most appropriate screening method.
Extract:
A nurse is caring for a postpartum client in an outpatient setting
Exhibit1:
History and Physical
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation.
Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min
group B streptococcus 8-hemolytic: positive (negative)
Received 2 doses of Intravenous penicillin G while in labor”
Question 3 of 5
complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---
Correct Answer: A
Rationale: The client is at highest risk for developing endometritis due to the positive group B streptococcus status and the median episiotomy, which are risk factors for infection.
Extract:
Question 4 of 5
What is the recommended method of pain relief during labor for a woman who wants to avoid medication?
Correct Answer: D
Rationale: The correct answer is D because using a combination of breathing techniques, massage, and water immersion can provide effective pain relief during labor without medication. Breathing techniques help manage contractions, massage can release tension, and water immersion can reduce discomfort. Option A, B, and C all play a role in promoting relaxation and reducing pain. Options E, F, and G are not applicable as they are not related to non-medication pain relief during labor. In summary, choosing all of the above options provides a holistic approach to managing pain during labor for women who prefer to avoid medication.
Question 5 of 5
Which of the following is a potential complication of neonatal hyperbilirubinemia?
Correct Answer: B
Rationale: The correct answer is B: Kernicterus. Neonatal hyperbilirubinemia can lead to kernicterus, a serious complication where bilirubin crosses the blood-brain barrier, causing brain damage.
Choice A, hypoglycemia, is not a typical complication of hyperbilirubinemia.
Choice C, respiratory distress syndrome, is a separate condition caused by immature lungs.
Choice D, "All of the above," is incorrect as hyperbilirubinemia specifically leads to kernicterus, not the other complications listed.