ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can cause pressure on the baby's facial nerves, leading to facial palsy. This occurs due to the forceps' pressure on the baby's face during delivery. Polycythemia (
A) is a condition of increased red blood cell count, not typically associated with forceps-assisted birth. Hypoglycemia (
B) may occur in newborns but is not directly related to the birth method. Bronchopulmonary dysplasia (
C) is a chronic lung condition that develops in premature infants, not specifically linked to forceps delivery.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - Notify the provider if the end of your baby’s penis appears dark red.
Rationale: Dark red color at the end of the penis could indicate infection or poor circulation, which are serious complications requiring immediate medical attention to prevent further complications. It is crucial for the parents to monitor the circumcision site regularly and report any concerning changes to the healthcare provider promptly.
Incorrect
Choices:
A: The Plastibell will not be removed after 4 hours; it typically falls off on its own within 5-8 days.
B: Ensuring a snug diaper is important for comfort but not specifically related to the Plastibell circumcision technique.
C: Yellow exudate is normal post-circumcision, usually appearing within 24-48 hours, and does not necessarily indicate a problem. Reporting dark red color is more critical.
Question 3 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because testing for GBS at 37 weeks of gestation allows healthcare providers to determine the current status of GBS colonization in the mother. This timing ensures that appropriate interventions, such as administering intrapartum antibiotic prophylaxis during labor, can be implemented to prevent neonatal GBS infection. Testing earlier in pregnancy may not accurately reflect the GBS status at the time of delivery.
Choices A, B, and C are incorrect because they do not address the specific rationale for testing at 37 weeks.
Choice A focuses on symptoms, which are not always present in GBS colonization.
Choice B refers to previous deliveries, which may not accurately predict the current GBS status.
Choice C mentions earlier prenatal testing, which may not capture GBS colonization at the time of delivery.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa Physical Examination
Funda height 33 cm
Fetal heart rate 174/min
Moderate amount of bright real vaginal bleeding
Abdomen soft palpation and without tenderness
Question 4 of 5
Which of the following assessment findings requires Immediate follow-up? Select all that apply,
Correct Answer: B,C,E,F
Rationale: The correct assessment findings that require immediate follow-up are B, C, E, and F. Vaginal bleeding (
B) could indicate a serious complication in pregnancy. HCT (
C) and Hgb (F) levels are crucial for evaluating anemia or bleeding issues. Fetal heart rate (E) provides insight into fetal well-being. Platelet count (
A), RBC count (
D), and WBC count (G) are important but not typically requiring immediate follow-up unless in specific critical situations.
Extract:
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, typically occurring postpartum. Uterine tenderness is a common finding due to inflammation and infection. A: Temperature of 37.4°C is within normal range. B: WBC count of 9,000/mm3 is normal. D: Scant lochia would not be expected with endometritis as it typically presents with increased or foul-smelling lochia.