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 ophthalmic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. Immediate bonding is crucial for the newborn's emotional well-being and development.
Choices A, B, and C do not have a direct impact on the timing of ophthalmic ointment instillation and are therefore incorrect.
Choice A could actually be harmful as it delays necessary treatment for potential infections.
Choice B is not a contraindication for ointment instillation.
Choice C being delivered via cesarean does not impact the timing of ointment application.
Question 2 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. One of the hallmark symptoms is a foul-smelling vaginal discharge. This discharge is typically greenish-yellow and frothy. At 20 weeks of gestation, hormonal changes may exacerbate the symptoms.
Choices A, B, and C are not typical findings in trichomoniasis. Thick, white vaginal discharge is more indicative of a yeast infection. Urinary frequency is more commonly associated with urinary tract infections. Vulva lesions are not a common symptom of trichomoniasis. In summary, the malodorous discharge is the key symptom that differentiates trichomoniasis from other conditions in this scenario.
Question 3 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 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are not consumed in a vegan diet. Fortified soy milk is a suitable option for vegans to increase B12 intake as it is fortified with this essential vitamin. Raw carrots (
B) and fresh citrus fruits (
C) do not contain significant amounts of B12. Brown rice (
D) is not a source of B12 either. It is important for the nurse to recommend fortified soy milk to ensure the client meets their B12 requirements on a vegan diet.
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 5 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.