ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Staff members who take care of your baby will be wearing a photo identification badge. This statement promotes the security and safety of the newborn by ensuring that only authorized personnel are handling the baby. It helps prevent unauthorized individuals from gaining access to the newborn. This practice aligns with hospital security protocols and minimizes the risk of infant abduction or mix-ups.
Choice A is incorrect as it goes against current safety practices of not carrying newborns to the nursery by non-parents for security reasons.
Choice B is unrelated to the security and safety of the newborn.
Choice C is incorrect as it goes against safe sleep guidelines which recommend placing the baby in a separate sleep area to reduce the risk of Sudden Infant Death Syndrome (SIDS).
Question 5 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. Facial swelling in pregnancy could be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. This requires immediate medical attention to prevent complications for both the mother and the baby. Varicose veins in the calves (
B) are common in pregnancy but do not pose an immediate threat. Nonpitting 1+ ankle edema (
C) is a common finding in pregnancy and typically not concerning unless it worsens. Hyperpigmentation of the cheeks (
D) is also a common occurrence during pregnancy known as "the mask of pregnancy" and is not a cause for alarm.