ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: PHR baseline 170/min. A baseline fetal heart rate of 170/min is considered tachycardia and may indicate fetal distress, requiring immediate attention. This finding can be indicative of fetal hypoxia or other complications. The nurse should report this to the provider promptly for further evaluation and intervention.
Contractions lasting 80 seconds (choice
A) are within the normal range for active labor and do not necessarily require immediate reporting.
Early decelerations in the PHR (choice
B) are benign and typically not a cause for concern unless they are persistent or associated with other abnormal findings.
A temperature of 37.4°C (99.3°F) (choice
C) is within normal limits and does not require immediate reporting unless it continues to rise significantly.
In summary, the correct answer is D because a baseline fetal heart rate of 170/min is abnormal and potentially indicative of fetal distress, requiring immediate provider notification.
Question 2 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: The correct answer is A: Decreased platelet count. In idiopathic thrombocytopenia purpura (ITP), there is a decrease in platelet count due to immune-mediated destruction of platelets. This can lead to an increased risk of bleeding.
Explanation for other choices:
B: Increased erythrocyte sedimentation rate (ESR) is not typically associated with ITP.
C: Decreased megakaryocytes may be seen in some cases of ITP but is not a consistent finding.
D: Increased WBC is not a characteristic finding in ITP.
Therefore, the most relevant finding in a client with ITP would be a decreased platelet count due to the underlying pathophysiology of the condition.
Question 3 of 5
A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rh(0) Immune globulin. This is the priority intervention because the client is Rh-negative and has undergone an invasive procedure that could potentially lead to mixing of maternal and fetal blood, increasing the risk of Rh sensitization. Administering Rh(0) Immune globulin helps prevent this sensitization by destroying any fetal Rh-positive red blood cells that may have entered the maternal circulation. Checking the client's temperature (
A) is important but not the priority. Observing for uterine contractions (
B) is relevant but not as urgent as administering Rh(0) Immune globulin. Monitoring the fetal heart rate (
D) is also important, but preventing Rh sensitization takes precedence in this scenario.
Question 4 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: B, C, D, A
Rationale: The correct order for performing Leopold maneuvers is B, C, D, A. Firstly, palpating the fundus (
B) helps identify the fetal part. Next, determining the location of the fetal back (
C) gives insight into the baby's position. Palpating for the fetal part at the inlet (
D) helps determine the presenting part. Finally, identifying the attitude of the head (
A) concludes the assessment. The other choices do not align with the sequential nature of Leopold maneuvers, making them incorrect.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 5 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale:
To determine the correct answer, we need to identify which assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis.
B: Greenish discharge is consistent with both trichomoniasis and gonorrhea due to their characteristic discharge color.
D: Pain on urination is a common symptom of gonorrhea, making it consistent with this condition.
Therefore, the correct answer is , as Greenish discharge and Pain on urination are consistent with gonorrhea. Abdominal pain and Diabetes are not specific to any of the mentioned conditions.