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 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Before applying an external transducer for fetal monitoring, the nurse should perform Leopold maneuvers to determine the fetal position, presentation, and lie. This helps in proper placement of the transducer and accurate monitoring of the fetal heart rate.
Choices A, C, and D are incorrect because they are not necessary steps prior to applying the external transducer. Determining the progression of dilatation and effacement (
Choice
A) is related to cervical assessment, which is not directly relevant to applying the transducer. Completing a sterile speculum exam (
Choice
C) and preparing a Nitrazine paper test (
Choice
D) are not required procedures for setting up fetal monitoring.
Question 2 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to an increased risk of gallbladder disease with oral contraceptive use. Hypertension is a contraindication because estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are a contraindication due to an increased risk of stroke. Human papillomavirus and anxiety disorder are not contraindications for oral contraceptives.
Question 3 of 5
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Urine output of 280 mL within 8 hr. In hyperemesis gravidarum, a low urine output may indicate dehydration despite IV fluid replacement. This finding is critical as it suggests inadequate renal perfusion. A reduced urine output can lead to electrolyte imbalances and compromised fetal well-being. Reporting this to the provider is essential for prompt intervention.
Choices A, B, and D are within normal limits for a client with hyperemesis gravidarum. A blood pressure of 105/64 mm Hg and heart rate of 98/min can be expected due to dehydration. Urine negative for ketones is a positive finding, indicating improved hydration and reduced risk of metabolic complications.
Question 4 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 5 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Amniotomy involves breaking the amniotic sac, increasing the risk of infection. Monitoring the client's temperature is crucial to detect early signs of infection, such as fever. Maintaining a normal temperature is essential to prevent maternal and fetal complications. O2 saturation, blood pressure, and urinary output are important assessments but do not take priority over monitoring the client's temperature post-amniotomy.