ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum peripartum cardiomyopathy can lead to heart failure and hypertension. Monitoring blood pressure is crucial to detect any worsening of the condition promptly. Misoprostol is not indicated for this condition. Fluid restriction may be necessary in some cases, but oral fluid intake should not be restricted immediately postpartum. Administering IV bolus of lactated Ringer's is not specific to managing peripartum cardiomyopathy. Regular blood pressure monitoring is essential for early detection and management of complications.
Question 2 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.
Order the Items
Source Container
Correct Answer: A, B, C, D
Rationale: The correct order for performing Leopold maneuvers on a client at 36 weeks gestation is A, B, C, D. Firstly, instructing the client to empty their bladder (
A) allows for better visualization and palpation of the fetus. Secondly, positioning the client supine with knees flexed and placing a small, rolled towel under one hip (
B) helps relax the abdominal muscles and provides easier access to the uterus. Next, palpating the fetal part positioned in the fundus (
C) helps determine the fetal presentation and position. Finally, palpating the fetal parts along both sides of the uterus (
D) allows for further assessment of the fetal position and presentation.
Choices E, F, and G are incorrect as they do not align with the sequential steps required for conducting Leopold maneuvers effectively.
Question 3 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, leading to a foul-smelling vaginal discharge. At 20 weeks of gestation, the nurse should expect this symptom due to the infection. Thick, white vaginal discharge (choice
A) is more indicative of a yeast infection. Urinary frequency (choice
B) is not typically associated with trichomoniasis. Vulva lesions (choice
C) are more commonly seen in herpes infection.
Therefore, the malodorous discharge (choice
D) aligns with the expected finding in a client with trichomoniasis at 20 weeks of gestation.
Question 4 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:
Rationale: Answer D is correct because testing for GBS at 37 weeks ensures detection of any recent colonization, which can change rapidly. Testing earlier in pregnancy may not accurately reflect GBS status at the time of delivery. Answers A, B, and C are incorrect because the focus should be on current GBS status, not past symptoms or test results. The nurse should prioritize testing closer to delivery for accurate results.
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. Sore nipples in breastfeeding mothers are often caused by improper latch. By assessing the newborn's latch, the nurse can identify any issues and provide guidance to the client on how to improve latch technique, which can alleviate nipple soreness. Waiting 4 hours between feedings (choice
A) can lead to engorgement and decreased milk supply. Limiting breastfeeding time to 5 min per breast (choice
C) can also affect milk supply. Offering supplemental formula (choice
D) can interfere with establishing successful breastfeeding.