ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is important because the lateral side has fewer nerve endings, making it less painful for the client. Additionally, it reduces the risk of injury to the nerves and blood vessels located on the other sides of the finger. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample and affect accuracy. Smearing the blood onto the reagent strip (choice
B) may lead to inaccurate results due to improper application. Holding the finger above the heart prior to puncture (choice
C) can increase blood flow and potentially affect the glucose level.
Therefore, selecting the lateral side of the finger for puncture is the best practice for obtaining a 2-hr postprandial blood glucose sample.
Question 2 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. Postterm newborns have longer nails due to their prolonged growth in utero. This is a common finding in babies born after 42 weeks gestation. Large deposits of subcutaneous fat (choice
A) are typically seen in term or postterm newborns, not specific to postterm. Thin covering of fine hair on shoulders and back (choice
B) is known as lanugo, which is present in premature infants, not postterm. Pale, translucent skin (choice
D) is more common in premature infants, not postterm.
Question 3 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C - The car seat should be positioned in the car at a 45-degree angle.
Rationale: Placing the car seat at a 45-degree angle helps protect a newborn's airway and prevents slumping, ensuring optimal safety during travel. This position aligns the baby's head with the neck and spine, reducing the risk of suffocation and injury in the event of sudden stops or accidents. A 45-degree angle also supports proper breathing and oxygenation for the newborn.
Therefore, this statement indicates the parent understands the importance of correctly positioning the car seat for their baby's safety.
Summary of Incorrect
Choices:
A: Incorrect - Using a sleep sack in the car seat can lead to overheating and compromise the baby's safety by interfering with the car seat's harness system.
B: Incorrect - A car seat challenge test is typically done for premature infants, not a newborn delivered at 38 weeks of gestation.
D: Incorrect - Turning a baby's car seat forward-facing
Question 4 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action promotes venous return to the heart and helps increase blood pressure. When a client is hypotensive, changing their position can prevent further decrease in blood pressure and maintain perfusion to vital organs. Applying oxygen (
B) may be helpful, but addressing the positioning is the priority. Massaging the fundus (
C) is not indicated for hypotension related to epidural anesthesia. Assisting the client to empty their bladder (
D) may be necessary for comfort but does not directly address the hypotension.
Question 5 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum peripartum cardiomyopathy can lead to heart failure and hypertension. Monitoring blood pressure is crucial to detect any worsening of the condition promptly. Misoprostol is not indicated for this condition. Fluid restriction may be necessary in some cases, but oral fluid intake should not be restricted immediately postpartum. Administering IV bolus of lactated Ringer's is not specific to managing peripartum cardiomyopathy. Regular blood pressure monitoring is essential for early detection and management of complications.