ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. During phototherapy for jaundice, the baby's eyes should be protected from the light to prevent damage. Closing the newborn's eyes with eyepatches is crucial to shield them. Providing glucose water (
A), turning every 4 hours (
B), and applying hydrating lotion (
C) are not directly related to the phototherapy treatment. These actions could be unnecessary or even harmful. By selecting answer D, the nurse ensures the safety and well-being of the newborn during the phototherapy session.
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 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 4 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.
Question 5 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because testing for GBS at 37 weeks of gestation allows healthcare providers to determine the current status of GBS colonization in the mother. This timing ensures that appropriate interventions, such as administering intrapartum antibiotic prophylaxis during labor, can be implemented to prevent neonatal GBS infection. Testing earlier in pregnancy may not accurately reflect the GBS status at the time of delivery.
Choices A, B, and C are incorrect because they do not address the specific rationale for testing at 37 weeks.
Choice A focuses on symptoms, which are not always present in GBS colonization.
Choice B refers to previous deliveries, which may not accurately predict the current GBS status.
Choice C mentions earlier prenatal testing, which may not capture GBS colonization at the time of delivery.