ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to irritability and discomfort. Diminished deep tendon reflexes (
A) are not typically associated with NAS. Decreased muscle tone (
C) is also not a common finding, as newborns with NAS often have increased muscle tone. Absent Moro reflex (
D) is not a characteristic sign of NAS. In summary, excessive crying is a key indicator of NAS, while the other choices are less likely to be present.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because newborns should be fed frequently, at least every 3 hours, to ensure they receive enough nutrients and maintain hydration. This frequent feeding schedule helps establish a good milk supply for the breastfeeding mother. Option A is incorrect because newborns should be allowed to nurse as long as they want on each breast to ensure they get enough hindmilk. Option B is incorrect as newborns do not need water and offering water may interfere with breastfeeding. Option C is incorrect as newborns should have at least 6-8 wet diapers a day to indicate adequate hydration.
Question 3 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication. The nurse should report this immediately to the provider for further evaluation and intervention.
B: Moderate lochia serosa is a normal finding in the postpartum period and does not require immediate reporting.
C: Heart rate of 89/min is within normal range for a postpartum client and does not indicate a critical condition.
D: Blood pressure of 120/70 mm Hg is also within normal limits and does not require immediate reporting.
Question 4 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 5 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.