ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to irritability and discomfort. Diminished deep tendon reflexes (
A) are not typically associated with NAS. Decreased muscle tone (
C) is also not a common finding, as newborns with NAS often have increased muscle tone. Absent Moro reflex (
D) is not a characteristic sign of NAS. In summary, excessive crying is a key indicator of NAS, while the other choices are less likely to be present.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the cord, which could lead to fetal compromise. By covering the cord, the nurse can protect it from further exposure and minimize the risk of decreased blood flow to the fetus. Performing a vaginal examination (choice
A) could worsen the situation by causing further cord compression. Administering oxygen (choice
C) and initiating IV fluids (choice
D) are important interventions but not the priority in this emergency situation. The focus should be on protecting the umbilical cord until immediate interventions can be performed by the healthcare team.
Question 5 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can hinder the visualization of the fetus during amniocentesis. Emptying the bladder helps improve visualization.
Choice B is incorrect because the client should lie flat on their back during the procedure, not on their side.
Choice C is incorrect because amniocentesis is usually done with the client awake.
Choice D is incorrect because fasting is not required before amniocentesis.