ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can hinder the visualization of the fetus during amniocentesis. Emptying the bladder helps improve visualization.
Choice B is incorrect because the client should lie flat on their back during the procedure, not on their side.
Choice C is incorrect because amniocentesis is usually done with the client awake.
Choice D is incorrect because fasting is not required before amniocentesis.
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 assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first in this situation is to massage the client's fundus. This is because excessive vaginal bleeding postpartum can be a sign of uterine atony, which is the most common cause of postpartum hemorrhage. Massaging the fundus helps to stimulate uterine contractions and can help control bleeding. Administering oxytocin (choice
B) can also help with uterine contractions, but massaging the fundus should be done first to assess the situation. Emptying the client's bladder (choice
C) can help relieve pressure on the uterus, but it is not the priority in this situation. Providing oxygen (choice
D) is not indicated for excessive vaginal bleeding unless the client is showing signs of hypoxia.
Question 4 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. Postterm newborns typically have long nails due to the prolonged time spent in utero. This is because they have had more time for nail growth compared to babies born at term. The nails may extend over the tips of the fingers, which can lead to unintentional scratching.
A: Large deposits of subcutaneous fat is incorrect for postterm newborns as they may appear thin and wrinkled due to decreased amniotic fluid in the womb.
B: Thin covering of fine hair on shoulders and back is incorrect as this is more characteristic of premature newborns, not postterm newborns.
D: Pale, translucent skin is incorrect as postterm newborns may have dry, cracked skin due to prolonged exposure to amniotic fluid.
Question 5 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.