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 at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, leading to a foul-smelling vaginal discharge. At 20 weeks of gestation, the nurse should expect this symptom due to the infection. Thick, white vaginal discharge (choice
A) is more indicative of a yeast infection. Urinary frequency (choice
B) is not typically associated with trichomoniasis. Vulva lesions (choice
C) are more commonly seen in herpes infection.
Therefore, the malodorous discharge (choice
D) aligns with the expected finding in a client with trichomoniasis at 20 weeks of gestation.
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale:
Rationale: Answer D is correct because testing for GBS at 37 weeks ensures detection of any recent colonization, which can change rapidly. Testing earlier in pregnancy may not accurately reflect GBS status at the time of delivery. Answers A, B, and C are incorrect because the focus should be on current GBS status, not past symptoms or test results. The nurse should prioritize testing closer to delivery for accurate results.
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. Sore nipples in breastfeeding mothers are often caused by improper latch. By assessing the newborn's latch, the nurse can identify any issues and provide guidance to the client on how to improve latch technique, which can alleviate nipple soreness. Waiting 4 hours between feedings (choice
A) can lead to engorgement and decreased milk supply. Limiting breastfeeding time to 5 min per breast (choice
C) can also affect milk supply. Offering supplemental formula (choice
D) can interfere with establishing successful breastfeeding.
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding may indicate hypovolemic shock, a serious condition postpartum. The nurse should report this to the provider immediately for further evaluation and intervention.
Choice B, moderate lochia serosa, is a normal finding 3 days postpartum.
Choice C, heart rate 89/min, and choice D, BP 120/70 mm Hg, are within normal ranges for a postpartum client and do not require immediate reporting.
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. The leaking cerebrospinal fluid puts the newborn at risk for infection, so administering antibiotics helps prevent infection. Monitoring rectal temperature (
B) is not directly related to preventing infection. Cleansing the site with povidone-iodine (
C) may not be effective in preventing infection. Preparing for surgical closure after 72 hr (
D) is important but addressing the risk of infection with antibiotics is the immediate priority.