ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Urine output of 280 mL within 8 hr. In hyperemesis gravidarum, a low urine output may indicate dehydration despite IV fluid replacement. This finding is critical as it suggests inadequate renal perfusion. A reduced urine output can lead to electrolyte imbalances and compromised fetal well-being. Reporting this to the provider is essential for prompt intervention.
Choices A, B, and D are within normal limits for a client with hyperemesis gravidarum. A blood pressure of 105/64 mm Hg and heart rate of 98/min can be expected due to dehydration. Urine negative for ketones is a positive finding, indicating improved hydration and reduced risk of metabolic complications.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 2 of 5
Which of the following indicates whether the adolescent understands the teaching on requires further education?
| client statements | Indicates understanding | Requires further education | |
|---|---|---|---|
| I should continue taking all my medications even if I don't show any symptoms. | |||
| If I continue to get this type of infection, it can affect my ability to have kids in the future. | |||
| I should go to the emergency department if my urine turns dark. | |||
| As long as I keep my IUD, I don't need to use condoms. | |||
| I'm more likely to get a sunburn while taking these medications. |
Correct Answer: D
Rationale: [_,1,0,1,0,0,0]
The correct answer is . This statement indicates a misunderstanding as using an IUD does not protect against sexually transmitted infections (STIs). The client requires further education on the importance of using condoms to prevent STIs. The other options do not directly relate to sexual health education or contraception.
Extract:
Question 3 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can cause mood changes, including depression, as an adverse effect. Estrogen in the medication can affect neurotransmitters in the brain, leading to mood alterations. Polyuria (
B) is excessive urination, not typically associated with oral contraceptives. Hypotension (
C) is low blood pressure, not a common side effect of oral contraceptives. Urticaria (
D) is hives, which is not a typical adverse effect of this medication. It is essential for the nurse to educate the client about potential adverse effects to monitor and report any concerning symptoms.
Question 4 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 5 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A - Decreased platelet count.
Rationale: In idiopathic thrombocytopenia purpura (ITP), there is a decreased platelet count due to immune-mediated destruction of platelets. This leads to an increased risk of bleeding and bruising. The nurse should expect thrombocytopenia in a client with ITP.
Summary of other choices:
B: Increased ESR - ESR is not typically affected in ITP.
C: Decreased megakaryocytes - Megakaryocytes are usually increased in ITP as the bone marrow tries to compensate for the decreased platelet count.
D: Increased WBC - WBC count is not typically affected in ITP.