ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down Syndrome. Reporting it is crucial for further evaluation and appropriate care. Single palmar creases are a physical characteristic associated with Down Syndrome, making it essential to inform the provider for thorough assessment and potential early intervention. The other choices are not indicative of immediate concern for a full-term newborn. Down Syndrome (
B) may be associated with single palmar creases, but it is not the clinical finding that should be reported. Rust-stained urine (
C), transient circumoral cyanosis (
D), and subconjunctival hemorrhage (E) are common and usually benign in newborns, requiring monitoring but not immediate reporting.
Question 3 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, and urinary symptoms. Flank pain is a key manifestation due to the inflammation of the kidney tissue. Epigastric discomfort (choice
A) is not typically associated with pyelonephritis. While a low-grade fever (choice
C) may be present, a temperature of 37.7°C is not significantly elevated to specifically indicate pyelonephritis. Abdominal cramping (choice
D) is more commonly associated with gastrointestinal issues rather than pyelonephritis.
Question 4 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 5 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing the finger while it is still damp with antiseptic solution (choice
A) can dilute the blood sample. Smearing the blood onto the reagent strip (choice
B) can lead to inaccurate results. Holding the finger above the heart prior to puncture (choice
C) can affect blood flow and glucose levels.
Therefore, selecting the lateral side of the finger for puncture ensures a less painful and accurate blood glucose reading.