ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. During phototherapy for jaundice, the baby's eyes should be protected from the light to prevent damage. Closing the newborn's eyes with eyepatches is crucial to shield them. Providing glucose water (
A), turning every 4 hours (
B), and applying hydrating lotion (
C) are not directly related to the phototherapy treatment. These actions could be unnecessary or even harmful. By selecting answer D, the nurse ensures the safety and well-being of the newborn during the phototherapy session.
Question 3 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 4 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common adverse effect due to the hormonal changes caused by the medication. This side effect occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (choice
B), urinary frequency (choice
C), and chills (choice
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to medications affecting the ear, urinary frequency may be related to other medications affecting the bladder, and chills are not a common side effect of clomiphene citrate.
Question 5 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.