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 reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the cord, which could lead to fetal compromise. By covering the cord, the nurse can protect it from further exposure and minimize the risk of decreased blood flow to the fetus. Performing a vaginal examination (choice
A) could worsen the situation by causing further cord compression. Administering oxygen (choice
C) and initiating IV fluids (choice
D) are important interventions but not the priority in this emergency situation. The focus should be on protecting the umbilical cord until immediate interventions can be performed by the healthcare team.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa Physical Examination
Funda height 33 cm
Fetal heart rate 174/min
Moderate amount of bright real vaginal bleeding
Abdomen soft palpation and without tenderness
Question 2 of 5
Which of the following assessment findings requires Immediate follow-up? Select all that apply,
Correct Answer: B,C,E,F
Rationale: The correct assessment findings that require immediate follow-up are B, C, E, and F. Vaginal bleeding (
B) could indicate a serious complication in pregnancy. HCT (
C) and Hgb (F) levels are crucial for evaluating anemia or bleeding issues. Fetal heart rate (E) provides insight into fetal well-being. Platelet count (
A), RBC count (
D), and WBC count (G) are important but not typically requiring immediate follow-up unless in specific critical situations.
Extract:
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt drop in glucose levels after birth. Jitteriness is a common manifestation of hypoglycemia in newborns as it is a sign of neurologic irritability caused by low blood sugar levels. Abdominal distention (
A) is not typically associated with hypoglycemia. Petechiae (
B) are small red or purple spots on the skin caused by bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.
Question 4 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation does not affect ovulation, only the passage of the egg through the fallopian tubes. The client demonstrating an understanding of the teaching by acknowledging that ovulation will continue as normal post-procedure.
A: Incorrect. Tubal ligation does not affect premenstrual tension.
B: Incorrect. Menstrual period length is not directly impacted by tubal ligation.
C: Incorrect. Hormone replacements are not typically required after tubal ligation as it does not affect hormone levels.
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, typically occurring postpartum. Uterine tenderness is a common finding due to inflammation and infection. A: Temperature of 37.4°C is within normal range. B: WBC count of 9,000/mm3 is normal. D: Scant lochia would not be expected with endometritis as it typically presents with increased or foul-smelling lochia.