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 at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? At 6 weeks of gestation, protein intake is crucial for fetal development. Vegan diets may lack sufficient protein, so assessing this is important.
Choice B is incorrect as Vitamin C is not typically a concern in vegan diets.
Choice C is incorrect as shellfish is not suitable for a vegan diet.
Choice D is incorrect as the client's choice to avoid meat is already known.
Question 2 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Petechiae are small, pinpoint red or purple spots on the skin caused by broken blood vessels. In the case of a newborn delivered with a nuchal cord (umbilical cord wrapped around the neck), there may have been some pressure on the baby's face during delivery, leading to the appearance of facial petechiae. This finding is a result of capillary rupture due to the pressure exerted by the nuchal cord. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are not typically associated with pressure from a nuchal cord.
Question 3 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, and urinary symptoms. Flank pain is a key manifestation due to the inflammation of the kidney tissue. Epigastric discomfort (choice
A) is not typically associated with pyelonephritis. While a low-grade fever (choice
C) may be present, a temperature of 37.7°C is not significantly elevated to specifically indicate pyelonephritis. Abdominal cramping (choice
D) is more commonly associated with gastrointestinal issues rather than pyelonephritis.
Question 4 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because the occipitoposterior position can result in back labor due to pressure on the mother's sacrum. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in relieving this specific discomfort.
Incorrect options:
A: Suprapubic pain is not typically associated with occipitoposterior position, so this question is not directly related to the intervention.
B: Pelvic pressure may not be the main concern with occipitoposterior position, making this question less relevant.
C: Contractions feeling further apart may not be directly impacted by the hands-and-knees position in this scenario.
Summary: Option D is correct as it targets the specific issue of back labor associated with occipitoposterior position, while the other options do not address the primary concern or may not be influenced by the intervention.
Question 5 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL. During pregnancy, elevated blood glucose levels can indicate gestational diabetes, which can have adverse effects on both the mother and the baby. The normal fasting blood glucose range is 74 to 106 mg/dL, so a level of 180 mg/dL is significantly higher and warrants immediate attention. Reporting this finding to the provider is crucial for timely management to prevent complications.
Choices A, B, and C fall within the normal reference ranges for hematocrit, creatinine, and WBC count, respectively, and do not indicate an urgent concern.
Therefore, they do not require immediate reporting to the provider.