ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down Syndrome. Reporting it is crucial for further evaluation and appropriate care. Single palmar creases are a physical characteristic associated with Down Syndrome, making it essential to inform the provider for thorough assessment and potential early intervention. The other choices are not indicative of immediate concern for a full-term newborn. Down Syndrome (
B) may be associated with single palmar creases, but it is not the clinical finding that should be reported. Rust-stained urine (
C), transient circumoral cyanosis (
D), and subconjunctival hemorrhage (E) are common and usually benign in newborns, requiring monitoring but not immediate reporting.
Question 3 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are not consumed in a vegan diet. Fortified soy milk is a suitable option for vegans to increase B12 intake as it is fortified with this essential vitamin. Raw carrots (
B) and fresh citrus fruits (
C) do not contain significant amounts of B12. Brown rice (
D) is not a source of B12 either. It is important for the nurse to recommend fortified soy milk to ensure the client meets their B12 requirements on a vegan diet.
Question 4 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby’s face with plain water. This instruction is important as newborns have sensitive skin that can easily be irritated by harsh chemicals. Washing the baby's face with plain water is gentle and safe.
Choice A is incorrect as bathing a baby immediately after a feeding can lead to discomfort and potential regurgitation.
Choice B is incorrect as bumper pads pose a suffocation risk for babies.
Choice C is incorrect as a soft mattress increases the risk of Sudden Infant Death Syndrome (SIDS).
In summary, washing the baby's face with plain water is the correct choice as it promotes safety and avoids potential harm to the newborn.
Question 5 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cooked cup, making them an excellent choice for alleviating constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal typically contains around 4 grams of fiber per cup, while cabbage and asparagus have approximately 2-4 grams of fiber per cup.
Therefore, lentils are the best choice for increasing dietary fiber and promoting bowel regularity in the antepartum client.