ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Chin quivering is a common indicator of pain in newborns as they are unable to verbally express discomfort. It is a physical sign of distress often observed during painful procedures like circumcision. Decreased heart rate (choice
A), pinpoint pupils (choice
C), and slowed respirations (choice
D) are not specific indicators of pain in newborns and can be influenced by various factors. In contrast, chin quivering is a more reliable and direct sign of pain in this context.
Question 2 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating "I will eat foods that taste good instead of balancing my meals," the client shows an understanding of the importance of listening to their body's cravings and preferences while still maintaining a balanced diet to manage hyperemesis gravidarum. This response acknowledges the need to prioritize enjoyment of food while ensuring adequate nutrition.
Incorrect choices:
B: Avoiding a snack before bed may not address the issue of balancing meals throughout the day.
C: Having a cup of hot tea with each meal is unrelated to the principles of balancing meals or addressing hyperemesis gravidarum.
D: Eliminating dairy products may lead to nutrient deficiencies unless alternative sources of calcium and other essential nutrients are included in the diet.
Question 3 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client's condition to the local health department. This action is crucial to ensure that proper public health measures can be taken to prevent the spread of HIV to others. Reporting the client's condition will also enable the health department to provide necessary support and resources for the client and her baby. Administering penicillin G (choice
A) is not indicated for an HIV-positive client at 22 weeks of gestation. Annual pelvic exams (choice
B) are important but not the priority in this case. Waiting to start HIV medication until after delivery (choice
C) is not recommended as early treatment is essential.
Question 4 of 5
A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rh(0) Immune globulin. After an amniocentesis, there is a risk of Rh sensitization due to potential mixing of maternal and fetal blood. Administering Rh(0) Immune globulin helps prevent the mother from developing antibodies against Rh-positive blood cells of the fetus. This intervention is crucial to prevent hemolytic disease of the newborn in subsequent pregnancies. Checking the client's temperature (
A) is important, but not the priority immediately after amniocentesis. Observing for uterine contractions (
B) is important but not the priority in this scenario. Monitoring the fetal heart rate (
D) is also important but not the priority post-amniocentesis.
Question 5 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping in early pregnancy could indicate ectopic pregnancy, miscarriage, or other serious complications. The nurse should see this client first to assess the severity of the cramping, check for any signs of bleeding, and determine if urgent intervention is needed to protect the client and the pregnancy.
Choices B, C, and D do not present immediate, potentially life-threatening concerns like the possibility of a miscarriage or ectopic pregnancy. Tingling and numbness in the hand (
B) may be related to carpal tunnel syndrome common in pregnancy, constipation (
C) can usually be managed with dietary changes, and occasional bloody noses (
D) are not uncommon in pregnancy.