ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because frequent vomiting with significant weight loss in a short period can indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and malnutrition, posing risks to both the mother and fetus. Weight loss of 3 lb in 1 week is concerning and requires immediate medical attention to prevent complications.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are often due to increased blood volume and hormonal changes during pregnancy and are usually not a serious issue unless severe or persistent.
D: Increased vaginal discharge is a common symptom during pregnancy due to hormonal changes and increased blood flow to the pelvic area, typically not a cause for immediate concern unless accompanied by other symptoms like itching or foul odor.
Question 2 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to determine respiratory function (
Choice
A). This is crucial in an unresponsive client to assess airway patency, breathing, and circulation, which are the priorities in any emergency situation. Ensuring adequate oxygenation and ventilation is essential for the client's survival. Increasing IV fluid rate (
Choice
B) may be necessary later but is not the priority at this moment. Accessing emergency medications (
Choice
C) is important but assessing respiratory function takes precedence. Collecting a blood sample for coagulopathy studies (
Choice
D) can wait until the client's immediate needs are addressed.
Question 3 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is crucial for positive identification, preventing mix-ups, and maintaining the newborn's safety. By matching the identification band numbers, the nurse confirms the correct parent and newborn pair, reducing the risk of errors or misidentification.
Summary of Other
Choices:
B: Asking the parent to verify their name and date of birth is important but may not be as reliable as matching identification band numbers.
C: Checking the newborn's security tag number is relevant for security purposes but does not directly confirm the parent-newborn match.
D: Matching the newborn's date and time of birth to the parent's medical record is not as effective as matching identification band numbers for ensuring correct parent-newborn pairing.
Question 4 of 5
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Have calcium gluconate readily available. Magnesium sulfate IV can lead to magnesium toxicity, causing decreased neuromuscular activity, including respiratory depression. Calcium gluconate is the antidote for magnesium sulfate toxicity as it antagonizes the effects of magnesium on the neuromuscular system. Having it readily available can help in case of an emergency.
Choice A is incorrect as fluid intake should not be restricted in preeclampsia.
Choice C is incorrect as assessing deep tendon reflexes every 6 hours is not directly related to managing magnesium sulfate infusion.
Choice D is incorrect as monitoring intake and output every 4 hours is not specific to the management of magnesium sulfate infusion.
Question 5 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because continuing to take insulin even during nausea and vomiting is crucial to prevent complications of hyperglycemia. Nausea and vomiting can lead to decreased food intake, risking hypoglycemia without insulin.
Choice A is incorrect as insulin needs may decrease in the first trimester.
Choice B is incorrect as moderate exercise is not recommended if blood glucose is 250 or greater.
Choice D is incorrect as a bedtime snack high in refined sugar can lead to unstable blood sugar levels.