ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 1 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Insert a large bore intravenous catheter. | ||
| Assess cervical dilation. | ||
| Weigh perineal pads. | ||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: Inserting a large bore IV catheter is indicated to manage potential hemorrhage. Weighing perineal pads helps quantify blood loss. Assessing cervical dilation is contraindicated as it may exacerbate bleeding. Administering methotrexate is not relevant in this context.
Extract:
Question 2 of 5
What is the recommended method of administering erythromycin ointment to a newborn?
Correct Answer: C
Rationale: The correct method for administering erythromycin ointment to a newborn is through topical application. This involves applying the ointment to the newborn's eyes to prevent neonatal conjunctivitis caused by Chlamydia trachomatis and Neisseria gonorrhoeae. Intramuscular and subcutaneous injections are not appropriate for this medication as it is meant for external use only. Oral administration is also not recommended for this particular medication.
Topical application is the most effective and safe method for this specific purpose.
Question 3 of 5
Which of the following is a potential complication of maternal hyperthyroidism during pregnancy?
Correct Answer: D
Rationale: Maternal hyperthyroidism can lead to preterm labor, fetal growth restriction, and PPROM.
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 complication of neonatal respiratory distress syndrome?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications like hypoglycemia due to increased metabolic demand, pneumonia due to compromised lung function, and patent ductus arteriosus due to pulmonary hypertension. Choosing A, B, or C alone would be incorrect as each complication can potentially arise in neonates with respiratory distress syndrome.