ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial because obtaining informed consent ensures that the client understands the risks, benefits, and alternatives of the procedure. Without informed consent, the client's autonomy and right to make decisions about their care are not upheld.
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position is not a standard precaution after administering a dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and can be harmful to the client's health.
E, F, G: No other choices are provided, but they would likely be incorrect as well since the correct answer focuses on obtaining informed consent, which is a fundamental principle in healthcare.
Question 2 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.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The correct answer is A because a woman's body changes after giving birth, affecting the fit of the diaphragm. Getting refitted ensures proper sizing for effective contraception.
Choice B is incorrect because oil-based lubricants can damage latex diaphragms.
Choice C is incorrect as diaphragms should be kept in place for 6-8 hours, not 4.
Choice D is incorrect as diaphragms should be stored in a cool, dry place, not sterile water.
Question 4 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum cardiomyopathy is a condition that can lead to heart failure, and monitoring blood pressure is essential to assess cardiac function and detect any signs of worsening heart failure. By assessing blood pressure twice daily, the nurse can identify any fluctuations or abnormalities early on and intervene promptly.
Choice A: Obtaining a prescription for misoprostol is not relevant to the care of a client with peripartum cardiomyopathy.
Choice C: Restricting daily oral fluid intake is not appropriate and may worsen the client's condition by potentially leading to dehydration.
Choice D: Administering an IV bolus of lactated Ringer's is not indicated for peripartum cardiomyopathy unless there is a specific indication such as hypovolemia.
In summary, assessing blood pressure twice daily is crucial for monitoring the client's cardiac status, while the other options are not relevant or may potentially be harmful in this context.
Question 5 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.