ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Begin FHR monitoring. Monitoring fetal heart rate (FHR) is the priority as it assesses the well-being of the baby after the water breaking. A sudden gush of fluid can indicate potential stress on the baby, so immediate monitoring is crucial. Performing Nitrazine testing (choice
A) or assessing the fluid (choice
B) can be done after ensuring the baby's safety. Checking cervical dilation (choice
C) is important but not as urgent as monitoring the FHR.
Question 2 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: The correct answer is C: Biophysical profile (BPP). At 41 weeks gestation, a positive contraction stress test indicates potential fetal distress. A BPP evaluates fetal well-being through assessing fetal heart rate, fetal movement, fetal breathing, fetal tone, and the amniotic fluid volume. This test helps determine if immediate delivery is necessary.
Incorrect choices:
A: Percutaneous umbilical blood sampling is used to assess fetal blood gases and acid-base status, not specifically for fetal distress assessment.
B: Amnioinfusion is used to replace amniotic fluid during labor, not for evaluating fetal well-being in this context.
D: Chorionic villus sampling is a prenatal test used to diagnose genetic abnormalities, not for assessing fetal well-being.
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 3 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:
Question 4 of 5
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Urine output of 280 mL within 8 hr. In hyperemesis gravidarum, a low urine output may indicate dehydration despite IV fluid replacement. This finding is critical as it suggests inadequate renal perfusion. A reduced urine output can lead to electrolyte imbalances and compromised fetal well-being. Reporting this to the provider is essential for prompt intervention.
Choices A, B, and D are within normal limits for a client with hyperemesis gravidarum. A blood pressure of 105/64 mm Hg and heart rate of 98/min can be expected due to dehydration. Urine negative for ketones is a positive finding, indicating improved hydration and reduced risk of metabolic complications.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical record
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 5 of 5
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for---------------------- and ------------------
Correct Answer: A,E,F
Rationale: The correct answer is A, E, and F. The nurse should anticipate a prescription for doxycycline and ceftriaxone to treat the pelvic inflammatory disease. Doxycycline is a common antibiotic used to treat pelvic inflammatory disease caused by chlamydia or gonorrhea. Ceftriaxone is another antibiotic that may be prescribed in combination with doxycycline for broader coverage. Additionally, providing education on medications is crucial to ensure the adolescent understands the treatment plan and complies with the prescribed regimen.
Choices B, C, and D are incorrect as acyclovir is used to treat herpes infections, imiquimod is used for certain skin conditions like genital warts, and fluconazole is an antifungal medication not typically used for pelvic inflammatory disease.