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 hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return to the heart, increasing blood pressure in a hypotensive client. Gravity assists in redistributing blood volume, which can help stabilize the client's blood pressure. Turning the client to a side-lying position also helps prevent compression of the inferior vena cava, which can occur when the client is supine, contributing to hypotension.
Choices B, C, and D are incorrect in this scenario. Applying oxygen via nasal cannula may be needed in some cases, but it does not directly address hypotension caused by epidural anesthesia. Massaging the fundus is not relevant in this situation, as it is typically done postpartum to aid in uterine contraction. Assisting the client to empty their bladder may be important for overall comfort but does not directly address hypotension.
Question 2 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Initiate seizure precautions.
Rationale:
1. Neonatal abstinence syndrome can lead to neurological complications, including seizures.
2. Initiating seizure precautions involves creating a safe environment to prevent injury during a seizure.
3. This action prioritizes the infant's safety and well-being.
4. Monitoring blood glucose level every hour (
A) is not typically indicated for neonatal abstinence syndrome.
5. Placing the infant on his back with legs extended (
B) is a basic positioning technique but not directly related to managing seizures.
6. Providing a stimulating environment (
D) can exacerbate symptoms in an infant with neonatal abstinence syndrome.
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Petechiae are small, pinpoint red or purple spots on the skin caused by broken blood vessels. In the case of a newborn delivered with a nuchal cord (umbilical cord wrapped around the neck), there may have been some pressure on the baby's face during delivery, leading to the appearance of facial petechiae. This finding is a result of capillary rupture due to the pressure exerted by the nuchal cord. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are not typically associated with pressure from a nuchal cord.
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 4 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:
A nurse is assessing a postpartum client during a follow-up visit.
Exhibit 3 - Vital Signs
Time Vital Signs
0930 Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
Question 5 of 5
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
Correct Answer: B,E
Rationale: The correct answers are B and E. Maintaining a strong support system helps the client receive emotional support and guidance, which can prevent feelings of isolation often associated with postpartum depression. Regular exercise for at least 30 minutes a day can help release endorphins, reducing stress and improving mood. Encouraging physical activity alone (choice
A) may not address the emotional support needed. While getting adequate rest and sleep (choice
C) is important, it may not be sufficient to prevent postpartum depression. Eating a well-balanced diet (choice
D) is crucial for overall health but may not directly impact postpartum depression.