ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.
Question 2 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 3 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease with oral contraceptives. Hypertension is a contraindication as estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication unless it is causing severe immunosuppression. Other choices are left blank as they are not relevant contraindications to oral contraceptives.
Question 4 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.
Question 5 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.