ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Exhibit1 Graphic Record: Blood pressure 130/78 mm Hg Respiratory rate 20/min Heart rate 90/min
Exhibit2:Diagnostic Results Hemoglobin 12 g/dL (11 to 16 g/dL) Hematocrit 34% (33% (0 47%) 1-hr glucose tolerance test 120 mg/dL (less than 180-190 mg/dL)
Exhibit3 Progress Notes FundalFundal height 30 cm Good fetal movement Not experiencing headache, dizziness, blurred vision, or vaginal bleedingFetal heart rate 110/min
Question 1 of 5
A nurse in an antepartum clinic is providing weeks of gestation. Upon reviewing the following findings should the nurse report to the provider? (Click on the 'Exhibit' button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: D
Rationale: The correct answer is D: Fetal heart rate (FHR). The nurse should report any abnormal fetal heart rate findings to the provider as it could indicate fetal distress or other complications. Monitoring FHR is crucial for assessing fetal well-being.
A: 1-hr glucose tolerance test is not relevant to the assessment of fetal well-being in this scenario.
B: Hematocrit is important for assessing the mother's blood volume but does not directly relate to fetal well-being.
C: Fundal height measurement helps estimate fetal growth but would not necessarily indicate an immediate concern that needs to be reported to the provider.
In summary, monitoring the FHR is essential for assessing fetal well-being and any abnormalities should be promptly reported for further evaluation and management.
Extract:
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because continuing to take insulin even during nausea and vomiting is crucial to prevent complications of hyperglycemia. Nausea and vomiting can lead to decreased food intake, risking hypoglycemia without insulin.
Choice A is incorrect as insulin needs may decrease in the first trimester.
Choice B is incorrect as moderate exercise is not recommended if blood glucose is 250 or greater.
Choice D is incorrect as a bedtime snack high in refined sugar can lead to unstable blood sugar levels.
Question 3 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to determine respiratory function (
Choice
A). This is crucial in an unresponsive client to assess airway patency, breathing, and circulation, which are the priorities in any emergency situation. Ensuring adequate oxygenation and ventilation is essential for the client's survival. Increasing IV fluid rate (
Choice
B) may be necessary later but is not the priority at this moment. Accessing emergency medications (
Choice
C) is important but assessing respiratory function takes precedence. Collecting a blood sample for coagulopathy studies (
Choice
D) can wait until the client's immediate needs are addressed.
Question 4 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring the correct identification of the newborn is crucial for providing safe and effective care. Incorrect identification can lead to errors in medication administration, treatment, and monitoring. Confirming the newborn's Apgar score (
A) is important for assessing the newborn's initial condition but is not the priority in this situation. Administering vitamin K (
C) is essential for newborns but can be done after verifying identification. Determining obstetrical risk factors (
D) is important for understanding the newborn's medical history but is not the immediate priority.
Extract:
A nurse is caring for a postpartum client in an outpatient setting
Exhibit1:
History and Physical
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation.
Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min
group B streptococcus 8-hemolytic: positive (negative)
Received 2 doses of Intravenous penicillin G while in labor”
Question 5 of 5
complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---
| Endometritis. |
| Mastitis. |
| Postpartum hemorrhage. |
| Group B streptococcus positive status. |
| Spontaneous vaginal delivery. |
| Median episiotomy. |
Correct Answer: A
Rationale:
To determine the correct answer, we need to consider the highest risk based on the client's condition. Endometritis is the most likely complication after childbirth due to factors like prolonged labor, multiple vaginal exams, and retained placental fragments. The client's presentation with signs such as fever, uterine tenderness, and foul-smelling vaginal discharge supports this diagnosis. Mastitis, postpartum hemorrhage, and Group B streptococcus positivity are also potential complications but are typically associated with different risk factors and clinical manifestations. Spontaneous vaginal delivery and median episiotomy are procedures or events during labor and delivery that may not directly relate to the development of endometritis.
Therefore, based on the client's symptoms and risk factors, the correct answer is A: Endometritis.