ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of antibiotic ophthalmic ointment can facilitate bonding between the newborn and parent, promoting skin-to-skin contact and eye contact essential for bonding. This crucial time immediately following birth sets the foundation for a strong parent-child relationship.
Summary:
A: Incorrect. Delaying antibiotic ointment instillation does not help in identifying infection manifestations.
B: Incorrect. The newborn's weight is not a factor in delaying the instillation of ointment.
C: Incorrect. The mode of delivery does not impact the timing of antibiotic ointment application.
D: Correct. Delaying ointment instillation facilitates bonding between the newborn and parent.
E, F, G: N/A
Question 2 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best way to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring the serum level helps ensure the client is taking the medication as prescribed. Option A is not as reliable as self-reporting may not be accurate. Option B, assessing kidney function, is important but not directly related to medication adherence. Option C, determining the apical pulse rate, may indicate the medication's effectiveness but does not confirm adherence. Checking the serum medication level directly assesses the actual drug concentration in the body, providing concrete evidence of adherence.
Question 3 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because amniocentesis is a procedure used to diagnose genetic or congenital disorders in the fetus, not for determining the sex of the baby. At 12 weeks of gestation, amniocentesis is typically performed between 15-20 weeks, not based on the mother's age (
Choice
A). Chorionic villus sampling is another prenatal test, but it is done earlier in pregnancy (around 10-13 weeks) and also for genetic testing, not for determining fetal sex (
Choice
C). Scheduling the procedure for later today without proper counseling and consideration of risks and benefits is inappropriate (
Choice
D).
Question 4 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus can be transmitted to the newborn through contact with infected bodily fluids such as saliva and urine. This is important for the nurses to understand as they care for both the mother and the newborn to prevent transmission.
Choice A is incorrect because acyclovir is not used to treat cytomegalovirus, but rather for other viral infections like herpes.
Choice C is incorrect because lesions are not typically visible on the mother's genitalia with cytomegalovirus.
Choice D is incorrect because airborne precautions are not necessary for cytomegalovirus transmission.
Question 5 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have a high fiber content of around 15.6 grams per cup, making them an excellent choice for relieving constipation. Fiber helps soften stool and promote regular bowel movements. Oatmeal, while a good source of fiber, typically contains around 4 grams per cup. Cabbage and asparagus have lower fiber content compared to lentils. In summary, lentils have the highest fiber content per cup among the options provided, making them the most suitable choice to help alleviate constipation in the antepartum client.