ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are not consumed in a vegan diet. Fortified soy milk is a suitable option for vegans to increase B12 intake as it is fortified with this essential vitamin. Raw carrots (
B) and fresh citrus fruits (
C) do not contain significant amounts of B12. Brown rice (
D) is not a source of B12 either. It is important for the nurse to recommend fortified soy milk to ensure the client meets their B12 requirements on a vegan diet.
Question 2 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The correct answer is A because a woman's body changes after giving birth, affecting the fit of the diaphragm. Getting refitted ensures proper sizing for effective contraception.
Choice B is incorrect because oil-based lubricants can damage latex diaphragms.
Choice C is incorrect as diaphragms should be kept in place for 6-8 hours, not 4.
Choice D is incorrect as diaphragms should be stored in a cool, dry place, not sterile water.
Question 3 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, typically occurring postpartum. Uterine tenderness is a common finding due to inflammation and infection. A: Temperature of 37.4°C is within normal range. B: WBC count of 9,000/mm3 is normal. D: Scant lochia would not be expected with endometritis as it typically presents with increased or foul-smelling lochia.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Exhibit 1 - Nurses' Notes: 0700
Breasts soft, nipples intact. Uterus palpated firm, midline, and at the level of the umbilicus.
Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and
ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously; no bladder
distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.
Exhibit 2 - Nurses' Notes: 1100
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the
umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema
and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+.
Peripheral edema 2+ in bilateral lower extremities.
Question 4 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,C
Rationale: The correct findings that require immediate follow-up are A, B, and C.
A: Lateral deviation of the uterus indicates a potential complication like uterine atony or retained placental fragments.
B: Deep tendon reflexes of 1+ could indicate hyporeflexia, which may be a sign of neurological issues.
C: Pain rating of 3 on a scale of 0 to 10 (increased) suggests escalating pain that needs prompt assessment.
Other choices are incorrect:
D: Peripheral edema 2+ bilateral lower extremities could be expected postpartum due to fluid shifts.
E: Uterine tone soft is normal postpartum as the uterus involutes.
F: Large amount of lochia rubra is expected in the early postpartum period.
G: Blood pressure of 136/86 mm Hg is within normal limits postpartum.
Extract:
Question 5 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL. During pregnancy, elevated blood glucose levels can indicate gestational diabetes, which can have adverse effects on both the mother and the baby. The normal fasting blood glucose range is 74 to 106 mg/dL, so a level of 180 mg/dL is significantly higher and warrants immediate attention. Reporting this finding to the provider is crucial for timely management to prevent complications.
Choices A, B, and C fall within the normal reference ranges for hematocrit, creatinine, and WBC count, respectively, and do not indicate an urgent concern.
Therefore, they do not require immediate reporting to the provider.