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 in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because the occipitoposterior position can result in back labor due to pressure on the mother's sacrum. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in relieving this specific discomfort.
Incorrect options:
A: Suprapubic pain is not typically associated with occipitoposterior position, so this question is not directly related to the intervention.
B: Pelvic pressure may not be the main concern with occipitoposterior position, making this question less relevant.
C: Contractions feeling further apart may not be directly impacted by the hands-and-knees position in this scenario.
Summary: Option D is correct as it targets the specific issue of back labor associated with occipitoposterior position, while the other options do not address the primary concern or may not be influenced by the intervention.
Question 2 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? At 6 weeks of gestation, protein intake is crucial for fetal development. Vegan diets may lack sufficient protein, so assessing this is important.
Choice B is incorrect as Vitamin C is not typically a concern in vegan diets.
Choice C is incorrect as shellfish is not suitable for a vegan diet.
Choice D is incorrect as the client's choice to avoid meat is already known.
Question 3 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because the occipitoposterior position can result in back labor due to pressure on the mother's sacrum. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in relieving this specific discomfort.
Incorrect options:
A: Suprapubic pain is not typically associated with occipitoposterior position, so this question is not directly related to the intervention.
B: Pelvic pressure may not be the main concern with occipitoposterior position, making this question less relevant.
C: Contractions feeling further apart may not be directly impacted by the hands-and-knees position in this scenario.
Summary: Option D is correct as it targets the specific issue of back labor associated with occipitoposterior position, while the other options do not address the primary concern or may not be influenced by the intervention.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia. Administering oxygen helps improve oxygenation to the fetus and can potentially reverse hypoxia. Other choices are incorrect:
A: Bearing down can further reduce oxygen supply to the fetus.
C: Placing the client in a supine position can worsen late decelerations by reducing blood flow to the placenta.
D: Initiating an amnioinfusion is used to alleviate variable decelerations, not late decelerations.
Question 5 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.