ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns born at 26 weeks, they typically exhibit minimal arm recoil due to muscle tone immaturity. This is a key characteristic assessed through the New Ballard Score to determine gestational age accurately. The other choices are incorrect because: B: A popliteal angle of 90° is more indicative of full-term infants. C: Creases over the entire foot sole are typically seen in term infants. D: Raised areolas with 3 to 4 mm buds are also more common in full-term infants. E, F, G: These options are not relevant to the assessment of gestational age in newborns.
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess fetal well-being in high-risk pregnancies, including conditions that may affect fetal oxygenation like oligohydramnios. Oligohydramnios refers to a decreased level of amniotic fluid, which can lead to fetal compromise and requires close monitoring. Hyperemesis gravidarum (
B) is severe nausea and vomiting in pregnancy, not directly related to fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 3 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution. This is crucial to assess for any potential hypotension, a common side effect of epidural anesthesia. Close monitoring allows for prompt intervention if hypotension occurs, ensuring the client's safety.
Choice A is incorrect because placing the client in a supine position following epidural anesthesia can lead to hypotension.
Choice B is incorrect as administering dextrose solution is not necessary for epidural anesthesia.
Choice D is incorrect as NPO status is not required for epidural anesthesia administration.
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 4 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.
Extract:
Question 5 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. Substernal retractions in a 16-hour-old newborn indicate respiratory distress and may be a sign of an underlying issue such as respiratory distress syndrome. This finding requires immediate attention from the healthcare provider to assess and manage the newborn's respiratory status.
Choices B, C, and D are not as concerning in a newborn of this age. Acrocyanosis is a common finding in newborns due to immature circulation. Overlapping suture lines can be normal due to the molding process during birth. A head circumference of 33 cm falls within the normal range for a newborn.
Therefore, these findings do not require immediate reporting to the provider.