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 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 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 providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The correct answer is A because a woman's body changes after giving birth, affecting the fit of the diaphragm. Getting refitted ensures proper sizing for effective contraception.
Choice B is incorrect because oil-based lubricants can damage latex diaphragms.
Choice C is incorrect as diaphragms should be kept in place for 6-8 hours, not 4.
Choice D is incorrect as diaphragms should be stored in a cool, dry place, not sterile water.
Question 4 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding may indicate improper latch, leading to discomfort. By assessing the newborn's latch, the nurse can identify any issues causing the soreness and provide guidance to improve latch technique, ultimately alleviating the discomfort for the client. This step is crucial in promoting successful breastfeeding and preventing further nipple soreness.
Summary of Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings may lead to engorgement and decreased milk supply, worsening the issue.
C: Limiting breastfeeding time to 5 min per breast may not address the root cause of sore nipples and can impact milk production.
D: Offering supplemental formula may interfere with establishing a successful breastfeeding routine and addressing latch issues, which is essential for long-term breastfeeding success.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down Syndrome. Reporting it is crucial for further evaluation and appropriate care. Single palmar creases are a physical characteristic associated with Down Syndrome, making it essential to inform the provider for thorough assessment and potential early intervention. The other choices are not indicative of immediate concern for a full-term newborn. Down Syndrome (
B) may be associated with single palmar creases, but it is not the clinical finding that should be reported. Rust-stained urine (
C), transient circumoral cyanosis (
D), and subconjunctival hemorrhage (E) are common and usually benign in newborns, requiring monitoring but not immediate reporting.