ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt drop in glucose levels after birth. Jitteriness is a common manifestation of hypoglycemia in newborns as it is a sign of neurologic irritability caused by low blood sugar levels. Abdominal distention (
A) is not typically associated with hypoglycemia. Petechiae (
B) are small red or purple spots on the skin caused by bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.
Question 2 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return to the heart, increasing blood pressure in a hypotensive client. Gravity assists in redistributing blood volume, which can help stabilize the client's blood pressure. Turning the client to a side-lying position also helps prevent compression of the inferior vena cava, which can occur when the client is supine, contributing to hypotension.
Choices B, C, and D are incorrect in this scenario. Applying oxygen via nasal cannula may be needed in some cases, but it does not directly address hypotension caused by epidural anesthesia. Massaging the fundus is not relevant in this situation, as it is typically done postpartum to aid in uterine contraction. Assisting the client to empty their bladder may be important for overall comfort but does not directly address hypotension.
Question 3 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can positively impact fertility by balancing hormone levels and improving reproductive function. Excess weight can lead to hormonal imbalances and ovulation issues, affecting fertility. Regular exercise and a balanced diet can help achieve and maintain a healthy weight.
A: Using a lubricant during intercourse may enhance comfort but does not directly impact fertility.
B: Drinking herbal tea may have some health benefits but is not a proven method to improve fertility.
D: Taking daily hot baths can actually have a negative impact on sperm production and should be avoided when trying to conceive.
Question 4 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. This type of laceration extends through the vaginal mucosa, perineal muscles, and anal sphincter, making the use of a suppository contraindicated due to the risk of infection and increased pain. Vaginal candidiasis (choice
A) does not directly impact the use of a suppository. Abdominal distention (choice
B) can be addressed by using a suppository. Afterpains (choice
C) are normal postpartum contractions and do not contraindicate the use of a suppository. In summary, the presence of a third-degree perineal laceration poses a significant risk if a suppository is used, making it the correct answer.
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding may indicate improper latch, leading to discomfort. By assessing the newborn's latch, the nurse can identify any issues causing the soreness and provide guidance to improve latch technique, ultimately alleviating the discomfort for the client. This step is crucial in promoting successful breastfeeding and preventing further nipple soreness.
Summary of Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings may lead to engorgement and decreased milk supply, worsening the issue.
C: Limiting breastfeeding time to 5 min per breast may not address the root cause of sore nipples and can impact milk production.
D: Offering supplemental formula may interfere with establishing a successful breastfeeding routine and addressing latch issues, which is essential for long-term breastfeeding success.