ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Question 1 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. During pregnancy, elevated blood glucose levels can indicate gestational diabetes, which can have adverse effects on both the mother and the baby. The normal fasting blood glucose range is 74 to 106 mg/dL, so a level of 180 mg/dL is significantly higher and warrants immediate attention. Reporting this finding to the provider is crucial for timely management to prevent complications.
Choices A, B, and C fall within the normal reference ranges for hematocrit, creatinine, and WBC count, respectively, and do not indicate an urgent concern.
Therefore, they do not require immediate reporting to the provider.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The nurse should report Coombs test result (
A) to the provider as it indicates potential hemolytic anemia. Mucous membrane assessment (
B) should be reported as changes can signify dehydration or infection. Intake and output (
C) should be reported to monitor fluid balance. Sclera color (G) should be reported as it can indicate liver dysfunction. The other choices, respiratory rate (
D), head assessment finding (E), heart rate (F), are important assessments but do not necessarily require immediate provider notification unless they are significantly abnormal and impacting the patient's condition.
Extract:
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common adverse effect due to the hormonal changes caused by the medication. This side effect occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (choice
B), urinary frequency (choice
C), and chills (choice
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to medications affecting the ear, urinary frequency may be related to other medications affecting the bladder, and chills are not a common side effect of clomiphene citrate.
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 could indicate hypovolemic shock, which is a serious postpartum complication. The nurse should report this immediately to the provider for further evaluation and intervention.
B: Moderate lochia serosa is a normal finding in the postpartum period and does not require immediate reporting.
C: Heart rate of 89/min is within normal range for a postpartum client and does not indicate a critical condition.
D: Blood pressure of 120/70 mm Hg is also within normal limits and does not require immediate reporting.
Question 5 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication commonly used to manage postpartum hemorrhage due to uterine atony. It works by causing uterine contractions, which can help stop the bleeding. Administering betamethasone (choice
A) is not indicated in this situation as it is a steroid used to promote fetal lung maturation in preterm labor. Avoiding sterile vaginal examinations (choice
B) may delay necessary interventions. Obtaining a specimen for a Kleihauer-Betke test (choice
D) is used to determine the amount of fetal-maternal hemorrhage, but it does not directly address the immediate issue of uterine atony and bleeding.