ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted births can put pressure on the baby's face, leading to facial nerve injury and subsequent facial palsy. This can present as weakness or paralysis of facial muscles. Polycythemia (
A) is not typically associated with forceps-assisted births. Hypoglycemia (
B) is more commonly seen in infants of diabetic mothers or preterm infants. Bronchopulmonary dysplasia (
C) is a lung condition often seen in premature infants on ventilatory support. The key is to recognize the specific complications related to forceps-assisted births, making choice D the most appropriate in this scenario.
Question 2 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 it induces, as it can lead to increased estrogen levels. This is important for the nurse to include in teaching as it prepares the client for a potential adverse effect.
B: Tinnitus, C: Urinary frequency, D: Chills are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to ototoxic medications, urinary frequency is not a known side effect of clomiphene, and chills are not a typical reaction to this medication. It is essential for the nurse to focus on the most relevant and common adverse effects to ensure the client's understanding and safety.
Question 3 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of antibiotic ophthalmic ointment can facilitate bonding between the newborn and parent, promoting skin-to-skin contact and eye contact essential for bonding. This crucial time immediately following birth sets the foundation for a strong parent-child relationship.
Summary:
A: Incorrect. Delaying antibiotic ointment instillation does not help in identifying infection manifestations.
B: Incorrect. The newborn's weight is not a factor in delaying the instillation of ointment.
C: Incorrect. The mode of delivery does not impact the timing of antibiotic ointment application.
D: Correct. Delaying ointment instillation facilitates bonding between the newborn and parent.
E, F, G: N/A
Question 4 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best way to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring the serum level helps ensure the client is taking the medication as prescribed. Option A is not as reliable as self-reporting may not be accurate. Option B, assessing kidney function, is important but not directly related to medication adherence. Option C, determining the apical pulse rate, may indicate the medication's effectiveness but does not confirm adherence. Checking the serum medication level directly assesses the actual drug concentration in the body, providing concrete evidence of adherence.
Question 5 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because amniocentesis is a procedure used to diagnose genetic or congenital disorders in the fetus, not for determining the sex of the baby. At 12 weeks of gestation, amniocentesis is typically performed between 15-20 weeks, not based on the mother's age (
Choice
A). Chorionic villus sampling is another prenatal test, but it is done earlier in pregnancy (around 10-13 weeks) and also for genetic testing, not for determining fetal sex (
Choice
C). Scheduling the procedure for later today without proper counseling and consideration of risks and benefits is inappropriate (
Choice
D).