ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common adverse effect due to the hormonal changes caused by the medication. This side effect occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (choice
B), urinary frequency (choice
C), and chills (choice
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to medications affecting the ear, urinary frequency may be related to other medications affecting the bladder, and chills are not a common side effect of clomiphene citrate.
Question 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus (CMV) is commonly transmitted to the newborn through infected bodily fluids such as saliva and urine. This is important for the newly licensed nurses to understand as it highlights the need for strict infection control practices to prevent transmission to vulnerable infants.
Choice A is incorrect because acyclovir is not used for prophylactic treatment of CMV.
Choice C is incorrect as CMV typically does not present with visible lesions on the mother's genitalia.
Choice D is incorrect as airborne precautions are not necessary for newborns with CMV. It is crucial for nurses to focus on understanding the modes of transmission and prevention strategies for CMV to provide optimal care for both the mother and the newborn.
Question 4 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 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.