ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation does not affect ovulation, only the passage of the egg through the fallopian tubes. The client demonstrating an understanding of the teaching by acknowledging that ovulation will continue as normal post-procedure.
A: Incorrect. Tubal ligation does not affect premenstrual tension.
B: Incorrect. Menstrual period length is not directly impacted by tubal ligation.
C: Incorrect. Hormone replacements are not typically required after tubal ligation as it does not affect hormone levels.
Question 2 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial because obtaining informed consent ensures that the client understands the risks, benefits, and alternatives of the procedure. Without informed consent, the client's autonomy and right to make decisions about their care are not upheld.
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position is not a standard precaution after administering a dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and can be harmful to the client's health.
E, F, G: No other choices are provided, but they would likely be incorrect as well since the correct answer focuses on obtaining informed consent, which is a fundamental principle in healthcare.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The nurse should report Coombs test result (
A) to the provider as it indicates potential hemolytic anemia. Mucous membrane assessment (
B) should be reported as changes can signify dehydration or infection. Intake and output (
C) should be reported to monitor fluid balance. Sclera color (G) should be reported as it can indicate liver dysfunction. The other choices, respiratory rate (
D), head assessment finding (E), heart rate (F), are important assessments but do not necessarily require immediate provider notification unless they are significantly abnormal and impacting the patient's condition.
Extract:
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period (August 10), then subtracting 3 months, and finally adding 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives May 17. This estimation is based on the assumption of a 28-day menstrual cycle.
Choice A (May 13) is incorrect because it does not account for the full 3 months.
Choice C (May 3) is incorrect as it miscalculates the 3 months and adds 7 days incorrectly.
Choice D (May 20) is wrong as it adds 7 days to the correct date but does not subtract the 3 months accurately.
Therefore, B is the correct choice based on the accurate application of Nägele's Rule.
Question 5 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - Notify the provider if the end of your baby’s penis appears dark red.
Rationale: Dark red color at the end of the penis could indicate infection or poor circulation, which are serious complications requiring immediate medical attention to prevent further complications. It is crucial for the parents to monitor the circumcision site regularly and report any concerning changes to the healthcare provider promptly.
Incorrect
Choices:
A: The Plastibell will not be removed after 4 hours; it typically falls off on its own within 5-8 days.
B: Ensuring a snug diaper is important for comfort but not specifically related to the Plastibell circumcision technique.
C: Yellow exudate is normal post-circumcision, usually appearing within 24-48 hours, and does not necessarily indicate a problem. Reporting dark red color is more critical.