ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps to reduce swelling, promote healing, and provide comfort for the client with a fourth-degree laceration. Warm compress can improve circulation and help with pain relief.
Choice B: Providing a cool sitz bath may not be ideal for promoting healing in this case as warmth is more beneficial.
Choice C: Administering methylergonovine is not appropriate for a perineal laceration and can cause unwanted side effects.
Choice D: Applying povidone-iodine after voiding can be irritating to the already sensitive area and may delay healing.
Question 2 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight is a crucial nonpharmacological factor that can positively impact fertility. Excess weight can disrupt hormonal balance and lead to ovulation issues in women and reduced sperm quality in men. A healthy weight can improve the chances of conception.
A: Using a lubricant during intercourse does not directly impact fertility and is not a recommended nonpharmacological treatment option.
B: Drinking herbal tea may have some health benefits, but there is no scientific evidence to support its effectiveness in improving fertility.
D: Taking hot baths can actually have a negative effect on sperm production in men due to the increased temperature in the genital area.
In summary, maintaining a healthy weight is the most appropriate nonpharmacological treatment option for improving fertility compared to the other choices provided.
Question 3 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). At 20 weeks of gestation, elevated blood glucose levels can indicate gestational diabetes, posing risks for both the mother and fetus. The normal range for fasting blood glucose is 74 to 106 mg/dL, so a value of 180 mg/dL is significantly high. The nurse should report this finding to the provider promptly for further evaluation and management to prevent complications.
A: Hematocrit of 37% is within the normal range for pregnancy.
B: Creatinine level of 0.9 mg/dL falls within the normal range.
C: WBC count of 11,000/mm3 is slightly elevated but can be attributed to the normal physiological changes in pregnancy, such as increased demand on the immune system.
Therefore, choices A, B, and C are not significantly concerning at this stage of gestation compared to the high blood glucose
Question 4 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This instruction is important because it helps prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe for newborns.
A: Bathing the baby immediately after a feeding is not recommended as it may lead to discomfort or spitting up.
B: Placing a bumper pad in the baby's crib can pose a suffocation hazard for the newborn.
C: Putting a soft mattress in the baby's crib increases the risk of sudden infant death syndrome (SIDS) as it may cause suffocation.
Overall, washing the baby's face with plain water is the safest and most appropriate instruction for home safety with a 2-day postpartum client.
Question 5 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.