ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 of 5
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Maintain the client on bed rest. In a client receiving heparin for thrombophlebitis, bed rest is essential to prevent dislodgment of the clot and avoid further complications. Moving around can increase the risk of embolism. Administering aspirin (choice
A) is not recommended as it can increase the risk of bleeding with heparin. Massaging the affected leg (choice
C) can dislodge the clot leading to embolism. Applying cold compresses (choice
D) can also increase the risk of dislodging the clot. The key is to promote circulation without dislodging the clot, which is achieved by keeping the client on bed rest.
Question 2 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping in early pregnancy could indicate a potential threat of miscarriage or ectopic pregnancy, which require immediate assessment to ensure the safety of the client and the pregnancy. Clients experiencing this symptom need prompt evaluation to rule out any serious complications.
Choices B, C, and D do not pose immediate risks to the client or the pregnancy and can be addressed after ensuring the safety of the client in choice A. Numbness and tingling in the hand (choice
B) may be due to carpal tunnel syndrome, while constipation (choice
C) and bloody noses (choice
D) are common pregnancy symptoms that can be managed through non-urgent interventions.
Question 3 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, potentially leading to fetal distress. Oxytocin can further stress the fetus by increasing uterine contractions, exacerbating the late decelerations. Late decelerations are a sign of decreased oxygen supply to the fetus, making it unsafe to augment labor with oxytocin.
Therefore, this finding should be reported to the provider to ensure the safety of both the client and the fetus.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being, not a contraindication for oxytocin infusion.
C: Cessation of uterine dilation may indicate a stalled labor progress but is not a contraindication for initiating oxytocin.
D: Prolonged active phase of labor may warrant augmentation with oxytocin rather than being a contraindication.
Question 4 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring proper identification is crucial for providing safe and effective care. By verifying the newborn's identification, the nurse can confirm they are caring for the right baby, preventing any potential errors in treatment or medication administration. This step is essential in maintaining patient safety and preventing harm.
Confirming the Apgar score (choice
A) can be important but is not the first priority in this scenario. Administering vitamin K (choice
C) is a routine procedure but can be done after verifying identification. Determining obstetrical risk factors (choice
D) is important for overall assessment but is not the immediate priority.
Question 5 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale:
Correct
Answer: C. Monitor the client's blood pressure every 5 minutes following the first dose of anesthetic solution.
Rationale: Continuous monitoring of the client's blood pressure is crucial after administering epidural anesthesia to detect any potential hypotension, a common side effect. By monitoring every 5 minutes, the nurse can promptly intervene if hypotension occurs, preventing maternal and fetal compromise.
Summary of other choices:
A: Placing the client in a supine position can lead to hypotension due to inferior vena cava compression. Incorrect.
B: Administering dextrose solution is unrelated to epidural anesthesia and not indicated for pain control. Incorrect.
D: NPO status is not directly related to epidural anesthesia administration. Incorrect.