ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping in early pregnancy could indicate ectopic pregnancy, miscarriage, or other serious complications. The nurse should see this client first to assess the severity of the cramping, check for any signs of bleeding, and determine if urgent intervention is needed to protect the client and the pregnancy.
Choices B, C, and D do not present immediate, potentially life-threatening concerns like the possibility of a miscarriage or ectopic pregnancy. Tingling and numbness in the hand (
B) may be related to carpal tunnel syndrome common in pregnancy, constipation (
C) can usually be managed with dietary changes, and occasional bloody noses (
D) are not uncommon in pregnancy.
Extract:
The nurse is reviewing laboratory results in the adolescent's medical record.
Exhibit 1
Vital Signs
1300: Blood pressure 118/72 mm Hg, Heart rate 100/min ,Respiratory rate 20/min ,Temperature 38.3° C
(101° F)
Exhibit 2:
Provider Prescriptions 1300: Standing prescriptions for clients who present with abdominal pain: Obtain
laboratory tests: Urinalysis Cervical culture C-reactive protein Beta hCG
Exhibit 3:
Nurses' Notes 1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0
to 10 pain scale and describes pain as constant and dull. Reports nausea and vomiting over past 24
hours. Reports painful urination and pain during sexual intercourse with minimal vaginal itching-
Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal discharge
observed. Reports last menstrual period was 3 weeks ago as normal period lasted 4 days. “
Question 2 of 5
Which of the following conditions is the client most likely developing?
| Pelvic inflammatory. |
| Ectopic pregnancy. |
| Pyclonephritis. |
| C-reactive protein. |
| Beta hCG. |
| Urinalysis. |
Correct Answer: A
Rationale: For the correct answer A : (1, 0, 0, 0, 0, 0)
Rationale: Pelvic inflammatory disease (PI
D) is an infection of the female reproductive organs. It typically presents with symptoms like pelvic pain, abnormal vaginal discharge, fever, and painful urination. It is commonly associated with sexually transmitted infections. In this scenario, the client is most likely developing PID due to the presence of symptoms such as pelvic pain and abnormal discharge. Ectopic pregnancy (
B) presents with abdominal pain and vaginal bleeding, not typically associated with PID. Pyelonephritis (
C) is a kidney infection that manifests with fever, flank pain, and urinary symptoms, not specific to PID. C-reactive protein (
D) is a marker of inflammation, not a condition itself. Beta hCG (E) is a hormone indicative of pregnancy, not specific to PID. Urinalysis (F) can help diagnose urinary tract infections but
Extract:
Question 3 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B because not passing meconium within 24-48 hours after birth can indicate a possible bowel obstruction or other underlying issue that needs immediate attention. Erythema toxicum (choice
A) is a common benign newborn rash. Pink-tinged urine (choice
C) may be due to uric acid crystals, which is normal in newborns. An axillary temperature of 37.7°C (99.9°F) (choice
D) is slightly elevated, but not alarming in a newborn.
Question 4 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because frequent vomiting with significant weight loss in a short period can indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and malnutrition, posing risks to both the mother and fetus. Weight loss of 3 lb in 1 week is concerning and requires immediate medical attention to prevent complications.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are often due to increased blood volume and hormonal changes during pregnancy and are usually not a serious issue unless severe or persistent.
D: Increased vaginal discharge is a common symptom during pregnancy due to hormonal changes and increased blood flow to the pelvic area, typically not a cause for immediate concern unless accompanied by other symptoms like itching or foul odor.
Question 5 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.