ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which stage of labor is characterized by the birth of the baby?
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. During the second stage, the cervix is fully dilated and the baby is pushed out through the birth canal. The first stage involves the onset of labor until full cervical dilation. The third stage is the delivery of the placenta. The fourth stage is the immediate postpartum period.
Choices E, F, and G are not relevant to the stages of labor. In summary, the second stage is specifically focused on the birth of the baby, making it the correct choice.
Question 2 of 5
Which of the following is a potential ethical issue related to pain management in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. This is because all the options listed - undertreatment of pain, overtreatment of pain, and use of alternative therapies without informed consent - are potential ethical issues in pain management in maternal and newborn healthcare. Undertreatment can lead to unnecessary suffering, while overtreatment can result in harm or adverse effects. The use of alternative therapies without informed consent violates the principle of autonomy and informed decision-making.
Therefore, considering all these factors, option D encompasses all the possible ethical issues related to pain management in this context.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 4 of 5
Which of the following is a potential complication of a postpartum hemorrhage?
Correct Answer: B
Rationale: The correct answer is B: Anemia. Postpartum hemorrhage leads to excessive blood loss, causing a decrease in red blood cells, leading to anemia. Hypertension is not a typical complication of postpartum hemorrhage. Thrombocytopenia is a low platelet count and not directly related to blood loss. The correct answer is B because anemia is a common complication due to blood loss.
Question 5 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: Jaundice within the first 24 hours of life is considered pathological and should be reported to the provider, as it may indicate hemolytic disease or other serious conditions.