ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, C, D, A
Rationale: The correct sequence for performing Leopold maneuvers is B, C, D, A. First, palpate the fundus to identify the fetal part (
B). Next, determine the location of the fetal back (
C).
Then, palpate for the fetal part presenting at the inlet (
D). Finally, identify the attitude of the head (
A). This sequence allows for a systematic assessment of the fetus's position in the uterus, starting from identifying the fetal part and progressing to determining the position and attitude.
Choices E, F, and G are not relevant to the sequential steps of Leopold maneuvers and do not contribute to the proper assessment of fetal presentation.
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because continuing to take insulin even during nausea and vomiting is crucial to prevent complications of hyperglycemia. Nausea and vomiting can lead to decreased food intake, risking hypoglycemia without insulin.
Choice A is incorrect as insulin needs may decrease in the first trimester.
Choice B is incorrect as moderate exercise is not recommended if blood glucose is 250 or greater.
Choice D is incorrect as a bedtime snack high in refined sugar can lead to unstable blood sugar levels.
Question 3 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn within the first 24 hours can be a sign of pathologic hyperbilirubinemia, which can be harmful. The nurse should report this to the provider promptly for further evaluation and management. Acrocyanosis (
A) is a common finding in newborns due to immature circulation and is not concerning. Transient strabismus (
B) is a common finding that typically resolves on its own and does not require immediate intervention. Caput succedaneum (
D) is swelling on the scalp that usually resolves without treatment.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 4 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated | |
|---|---|---|---|
| Insert a large bore intravenous catheter. | |||
| Assess cervical dilation. | |||
| Weigh perineal pads. | |||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: , (B, 0, 1, 0), (C, 1, 0, 1), (D, 0, 0, 0)
- A: Inserting a large bore IV catheter is indicated for emergency situations to provide rapid fluid replacement or administer medications.
- B: Assessing cervical dilation is not indicated unless specifically related to the client's condition, not a routine nursing action.
- C: Weighing perineal pads is indicated to monitor postpartum hemorrhage by measuring blood loss.
- D: Administering methotrexate is contraindicated in the absence of a specific indication or prescription for the client.
Extract:
Question 5 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Neonatal withdrawal from SSRIs can present with symptoms such as jitteriness, irritability, poor feeding, and gastrointestinal symptoms like vomiting. This is due to the sudden cessation of the drug after birth, leading to withdrawal symptoms. The other choices are incorrect because large for gestational age (
A) is not typically associated with SSRI withdrawal; hyperglycemia (
B) is not a common withdrawal symptom; bradypnea (
C) is not a typical manifestation of SSRI withdrawal.