ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 1 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Increased warmth in the extremity: Indicates worsening condition as it can be a sign of infection or inflammation in deep vein thrombosis.
- Tachycardia: Indicates worsening condition as it can be a sign of stress on the cardiovascular system due to the clot.
- Leukocytosis: Indicates worsening condition as it can be a sign of infection or inflammation.
- Scant lochia rubra: Indicates improving condition as it suggests reduced postpartum bleeding, which is a positive sign.
Extract:
Question 2 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of ophthalmic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. Immediate bonding is crucial for the newborn's emotional well-being and development.
Choices A, B, and C do not have a direct impact on the timing of ophthalmic ointment instillation and are therefore incorrect.
Choice A could actually be harmful as it delays necessary treatment for potential infections.
Choice B is not a contraindication for ointment instillation.
Choice C being delivered via cesarean does not impact the timing of ointment application.
Question 3 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation does not affect ovulation, only the passage of the egg through the fallopian tubes. The client demonstrating an understanding of the teaching by acknowledging that ovulation will continue as normal post-procedure.
A: Incorrect. Tubal ligation does not affect premenstrual tension.
B: Incorrect. Menstrual period length is not directly impacted by tubal ligation.
C: Incorrect. Hormone replacements are not typically required after tubal ligation as it does not affect hormone levels.
Question 4 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 5 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia. Administering oxygen helps improve oxygenation to the fetus and can potentially reverse hypoxia. Other choices are incorrect:
A: Bearing down can further reduce oxygen supply to the fetus.
C: Placing the client in a supine position can worsen late decelerations by reducing blood flow to the placenta.
D: Initiating an amnioinfusion is used to alleviate variable decelerations, not late decelerations.