ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels helps ensure the medication is within the safe and effective range. Checking the medication level provides objective data on adherence compared to subjective responses from the client (choice
A). Assessing kidney function (choice
B) is important for digoxin dosing but does not directly evaluate adherence. Monitoring the apical pulse rate (choice
C) is essential for digoxin therapy but does not directly assess medication adherence. Checking the serum medication level is the most direct and reliable method to confirm if the client is taking the medication as prescribed.
Extract:
A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, D.
Rationale: Engorgement is a common condition postpartum.
To address it, the nurse should initiate anticoagulant therapy to prevent deep vein thrombosis and administer an oxytocic medication to promote milk ejection. Monitoring the client's temperature for infection and the circumference of lower extremities for edema can help assess progress. Applying ice packs to the breasts is not necessary for engorgement, and monitoring the integrity of the nipples is not directly related to this condition.
Extract:
Question 3 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale:
Correct Answer: D - Postpartum hemorrhage
Rationale: The client being 80% effaced and 8 cm dilated indicates she is in active labor and close to giving birth. This progression puts her at higher risk for postpartum hemorrhage due to the increased likelihood of excessive bleeding after delivery. The cervix being fully dilated means the client is close to delivering the baby, and the risk of postpartum hemorrhage is highest during and immediately after childbirth. This is why the nurse should be vigilant for signs of excessive bleeding and be prepared to intervene promptly.
Summary of other choices:
A: Ectopic pregnancy - Not relevant as the client is admitted to the birthing unit and already in active labor.
B: Hyperemesis gravidarum - Not relevant as this is a condition of severe nausea and vomiting in pregnancy, not associated with the client's current situation.
C: Incompetent cervix - Not relevant as the client is already 8 cm dil
Question 4 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.
Question 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt drop in glucose levels after birth. Jitteriness is a common manifestation of hypoglycemia in newborns as it is a sign of neurologic irritability caused by low blood sugar levels. Abdominal distention (
A) is not typically associated with hypoglycemia. Petechiae (
B) are small red or purple spots on the skin caused by bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.