ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. Postterm newborns typically have long nails due to the prolonged time spent in utero. This is because they have had more time for nail growth compared to babies born at term. The nails may extend over the tips of the fingers, which can lead to unintentional scratching.
A: Large deposits of subcutaneous fat is incorrect for postterm newborns as they may appear thin and wrinkled due to decreased amniotic fluid in the womb.
B: Thin covering of fine hair on shoulders and back is incorrect as this is more characteristic of premature newborns, not postterm newborns.
D: Pale, translucent skin is incorrect as postterm newborns may have dry, cracked skin due to prolonged exposure to amniotic fluid.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 2 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
1. Fundus at level of umbilicus: (Indication of potential improvement) - This finding indicates the uterus is contracting well, which is a positive sign postpartum.
2. Cloudy urine: (Unrelated to diagnosis) - Cloudy urine is not typically associated with postpartum assessment and may be due to other factors like dehydration.
3. Blood pressure 80/50 mm Hg: (Indication of potential worsening condition) - This blood pressure reading is low and could indicate hypotension, which is concerning postpartum.
4. Moderate lochia rubra: (Unrelated to diagnosis) - Lochia rubra is expected postpartum and is not directly related to the assessment findings.
5. Thready pulse: (Indication of potential improvement) - A thready pulse may indicate dehydration or hypovolemia, but if it improves over
Extract:
Question 3 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.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period (August 10), then subtracting 3 months, and finally adding 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives May 17. This estimation is based on the assumption of a 28-day menstrual cycle.
Choice A (May 13) is incorrect because it does not account for the full 3 months.
Choice C (May 3) is incorrect as it miscalculates the 3 months and adds 7 days incorrectly.
Choice D (May 20) is wrong as it adds 7 days to the correct date but does not subtract the 3 months accurately.
Therefore, B is the correct choice based on the accurate application of Nägele's Rule.
Question 5 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. For newborns, the vastus lateralis muscle is the recommended site for intramuscular injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the vaccine. Massaging the site vigorously (
B) can cause tissue damage. Inserting the needle at a 45° angle (
C) is not recommended as it may lead to improper vaccine delivery. Using a 21-gauge needle (
D) is not necessary for newborns and may cause unnecessary pain.