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 at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. One of the hallmark symptoms is a foul-smelling vaginal discharge. This discharge is typically greenish-yellow and frothy. At 20 weeks of gestation, hormonal changes may exacerbate the symptoms.
Choices A, B, and C are not typical findings in trichomoniasis. Thick, white vaginal discharge is more indicative of a yeast infection. Urinary frequency is more commonly associated with urinary tract infections. Vulva lesions are not a common symptom of trichomoniasis. In summary, the malodorous discharge is the key symptom that differentiates trichomoniasis from other conditions in this scenario.
Question 2 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can hinder the visualization of the fetus during amniocentesis. Emptying the bladder helps improve visualization.
Choice B is incorrect because the client should lie flat on their back during the procedure, not on their side.
Choice C is incorrect because amniocentesis is usually done with the client awake.
Choice D is incorrect because fasting is not required before amniocentesis.
Question 3 of 5
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer’s IV bolus. In this scenario, the steady trickle of vaginal bleeding after a cesarean birth could indicate postpartum hemorrhage. Administering a lactated Ringer's IV bolus helps to stabilize the client's hemodynamic status by replacing lost fluids and improving perfusion. This is crucial in managing postpartum hemorrhage and preventing complications.
Incorrect choices:
A: Replacing the surgical dressing does not address the underlying issue of postpartum hemorrhage.
B: Evaluating urinary output is important but not the priority when dealing with postpartum hemorrhage.
C: Applying an ice pack to the incision site is not appropriate for managing postpartum hemorrhage.
Question 4 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 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt drop in glucose levels after birth. Jitteriness is a common manifestation of hypoglycemia in newborns as it is a sign of neurologic irritability caused by low blood sugar levels. Abdominal distention (
A) is not typically associated with hypoglycemia. Petechiae (
B) are small red or purple spots on the skin caused by bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.