ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in newborns can manifest as respiratory distress due to inadequate glucose supply to meet the energy demands of breathing. Hypertonia, increased feeding, and hyperthermia are not specific signs of hypoglycemia in newborns. Hypertonia may indicate other conditions like hypocalcemia, while increased feeding may be a compensatory mechanism to increase blood glucose levels. Hyperthermia can be caused by various factors unrelated to hypoglycemia in this context.
Question 2 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: D
Rationale: The correct answer is D: Descent. At 9 cm dilation, the client is in the second stage of labor, which consists of the descent and birth of the baby. Increasing rectal pressure indicates the baby is descending into the birth canal. Contractions 2-3 min apart lasting 80-90 seconds are characteristic of the active phase of the second stage. Passive descent (choice
A) refers to the initial descent of the baby before the active pushing stage. Active (choice
B) and early (choice
C) phases are terms used for the first stage of labor, not the second stage. The client's dilation and symptoms clearly indicate they are in the descent phase of the second stage of labor.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
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 indicates whether the adolescent understands the teaching on requires further education?
| client statements | Indicates understanding | Requires further education | |
|---|---|---|---|
| I should continue taking all my medications even if I don't show any symptoms. | |||
| If I continue to get this type of infection, it can affect my ability to have kids in the future. | |||
| I should go to the emergency department if my urine turns dark. | |||
| As long as I keep my IUD, I don't need to use condoms. | |||
| I'm more likely to get a sunburn while taking these medications. |
Correct Answer: D
Rationale: [_,1,0,1,0,0,0]
The correct answer is . This statement indicates a misunderstanding as using an IUD does not protect against sexually transmitted infections (STIs). The client requires further education on the importance of using condoms to prevent STIs. The other options do not directly relate to sexual health education or contraception.
Extract:
Question 4 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.
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 5 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.