ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: PHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is high and may indicate fetal distress or other complications. The nurse should report this finding to the provider for further evaluation and intervention. Contractions lasting 80 seconds (choice
A) are within the normal range for active labor. Early decelerations in the FHR (choice
B) are also normal and not concerning. A temperature of 37.4° C (99.3° F) (choice
C) is slightly elevated but not a critical finding in active labor.
Therefore, the nurse should focus on the abnormal FHR baseline of 170/min and report it promptly for appropriate management.
Question 2 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Before applying an external transducer for fetal monitoring, the nurse should perform Leopold maneuvers to determine the fetal position, presentation, and lie. This helps in proper placement of the transducer and accurate monitoring of the fetal heart rate.
Choices A, C, and D are incorrect because they are not necessary steps prior to applying the external transducer. Determining the progression of dilatation and effacement (
Choice
A) is related to cervical assessment, which is not directly relevant to applying the transducer. Completing a sterile speculum exam (
Choice
C) and preparing a Nitrazine paper test (
Choice
D) are not required procedures for setting up fetal monitoring.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
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 3 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.
Extract:
Question 4 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, the fetus's heart rate is typically around 140-160 beats per minute. This finding indicates normal fetal well-being. Deep tendon reflexes being 4+ (choice
A) is not relevant to gestational age assessment. Fundal height of 14 cm (choice
B) is too low for 18 weeks gestation. A blood pressure of 142/94 mm Hg (choice
C) is elevated for pregnancy and indicates hypertension.
Therefore, the correct answer is D.
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.