ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is essential during a nonstress test to track fetal movement and heart rate patterns. By pressing the button each time fetal movement is felt, the nurse can correlate these movements with any changes in the fetal heart rate, providing valuable information about fetal well-being. Maintaining the client NPO (
A) is not necessary for a nonstress test. Placing the client in a supine position (
B) can reduce blood flow to the fetus and is not recommended. Instructing the client to massage the abdomen (
C) may lead to inaccurate test results by artificially stimulating fetal movements.
Question 2 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating she will eat foods that taste good instead of balancing meals, the client demonstrates understanding of the need to prioritize eating to manage hyperemesis gravidarum. This choice indicates she recognizes the importance of maintaining adequate nutrition despite food aversions.
Choice B is incorrect as avoiding bedtime snacks may worsen nausea.
Choice C is incorrect as caffeine in tea can exacerbate nausea.
Choice D is incorrect as dairy products are important for calcium and protein intake during pregnancy.
Question 3 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because folic acid is crucial during pregnancy to prevent birth defects like spina bifida. It is recommended to take 600 micrograms daily.
Choice A is incorrect as the recommended protein intake is 71 grams/day.
Choice B is important but doesn't address nutrition specifically.
Choice C is unnecessary and could lead to excessive weight gain.
Question 4 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A, C
Rationale: The correct choices for administering oxytocin are A (flaccid uterus) and C (excess vaginal bleeding). Oxytocin is indicated to help contract the uterus, reducing bleeding and preventing postpartum hemorrhage. A flaccid uterus indicates poor uterine tone, which can lead to increased bleeding. Excess vaginal bleeding also indicates the need for oxytocin to aid in uterine contraction.
Choices B, D, and E are incorrect. Cervical laceration does not directly impact the need for oxytocin administration. Increased afterbirth cramping is a normal postpartum finding and does not necessarily require oxytocin. Increased maternal temperature is not a direct indication for oxytocin administration.
Question 5 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This symptom could indicate a potentially serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for the mother and baby. Shortness of breath when climbing stairs (
A) is common in late pregnancy due to the growing uterus pressing on the diaphragm. Swelling of feet and ankles (
B) is expected in pregnancy due to increased fluid retention. Braxton Hicks contractions (
D) are normal and not a cause for concern unless they become regular and closer together.