ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to an increased risk of gallbladder disease with oral contraceptive use. Hypertension is a contraindication because estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are a contraindication due to an increased risk of stroke. Human papillomavirus and anxiety disorder are not contraindications for oral contraceptives.
Extract:
A nurse in a clinic a caring for a 16-year-old adolescent
Exhibit1:
Provider Prescriptions: Standing prescriptions for clients who present with abdominal. Obtain laboratory
tests, Urinalysis, Cervical culture C-reactive protein Beta Hcg
Question 2 of 5
Which of the following findings should the nurse report to the provider? Select all that apply
| Abdominal assessment. |
| Vaginal Discharge. |
| Heart rate. |
| Temperature. |
| Dyspareunia. |
| Condom usage. |
Correct Answer: B, E
Rationale:
To determine which findings the nurse should report to the provider, we need to consider the significance of each choice. Vaginal discharge should be reported as it can indicate infection or other gynecological issues. Dyspareunia (E), which is painful intercourse, should also be reported as it could suggest underlying health concerns. Abdominal assessment (
A), heart rate (
C), temperature (
D), and condom usage (F) are important but do not necessarily require immediate reporting to the provider unless there are specific concerns related to them.
Choice G is blank, so it is not applicable.
Therefore, the correct answers are B and E.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 3 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated | |
|---|---|---|---|
| Insert a large bore intravenous catheter. | |||
| Assess cervical dilation. | |||
| Weigh perineal pads. | |||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: , (B, 0, 1, 0), (C, 1, 0, 1), (D, 0, 0, 0)
- A: Inserting a large bore IV catheter is indicated for emergency situations to provide rapid fluid replacement or administer medications.
- B: Assessing cervical dilation is not indicated unless specifically related to the client's condition, not a routine nursing action.
- C: Weighing perineal pads is indicated to monitor postpartum hemorrhage by measuring blood loss.
- D: Administering methotrexate is contraindicated in the absence of a specific indication or prescription for the client.
Extract:
Question 4 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.
Question 5 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 for preventing neural tube defects in the developing fetus. 600 micrograms is the recommended daily intake during pregnancy. A: Increasing protein intake is important but the specific amount mentioned is not accurate. B: Staying hydrated is important, but the amount specified is not related to nutrition during pregnancy. C: Increasing caloric intake is necessary during pregnancy, but the amount mentioned is not specific to individual needs.