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 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client's condition to the local health department. This action is crucial to ensure that proper public health measures can be taken to prevent the spread of HIV to others. Reporting the client's condition will also enable the health department to provide necessary support and resources for the client and her baby. Administering penicillin G (choice
A) is not indicated for an HIV-positive client at 22 weeks of gestation. Annual pelvic exams (choice
B) are important but not the priority in this case. Waiting to start HIV medication until after delivery (choice
C) is not recommended as early treatment is essential.
Question 2 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: You should take the medication within 72 hours following unprotected sexual intercourse. Levonorgestrel is most effective when taken within 72 hours of unprotected sex to prevent pregnancy. It works by preventing ovulation or fertilization.
Choice B is incorrect because levonorgestrel can be used even if the individual is on oral contraceptives.
Choice C is incorrect because a missed period does not necessarily indicate pregnancy.
Choice D is incorrect because levonorgestrel is only effective for a short period after taking it.
Question 3 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.
Question 4 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because folic acid is crucial for preventing neural tube defects in the developing fetus. 600 micrograms is the recommended daily intake during pregnancy. A: Increasing protein intake is important but the specific amount mentioned is not accurate. B: Staying hydrated is important, but the amount specified is not related to nutrition during pregnancy. C: Increasing caloric intake is necessary during pregnancy, but the amount mentioned is not specific to individual needs.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
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 5 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.