ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Petechiae are small, pinpoint red or purple spots on the skin caused by broken blood vessels. In the case of a newborn delivered with a nuchal cord (umbilical cord wrapped around the neck), there may have been some pressure on the baby's face during delivery, leading to the appearance of facial petechiae. This finding is a result of capillary rupture due to the pressure exerted by the nuchal cord. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are not typically associated with pressure from a nuchal cord.
Question 2 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 3 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. For newborns, the vastus lateralis muscle is the recommended site for intramuscular injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the vaccine. Massaging the site vigorously (
B) can cause tissue damage. Inserting the needle at a 45° angle (
C) is not recommended as it may lead to improper vaccine delivery. Using a 21-gauge needle (
D) is not necessary for newborns and may cause unnecessary pain.
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 4 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 5 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale: The correct order for performing Leopold maneuvers on a client at 36 weeks of gestation is A, B, C, D. Firstly, instructing the client to empty their bladder (
A) provides better access to the uterus. Positioning the client supine with knees flexed and placing a small, rolled towel under one hip (
B) helps with visualization and palpation. Palpating the fetal part positioned in the fundus (
C) allows the nurse to determine the fetal presentation. Finally, palpating the fetal parts along both sides of the uterus (
D) helps in assessing the fetal lie and position.
Choices E, F, and G are not relevant to the correct sequence of actions for Leopold maneuvers.