ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a concerning symptom that could indicate a serious complication like preeclampsia. It is crucial to report this to the provider promptly to prevent potential harm to both the mother and the baby. Shortness of breath when climbing stairs (
A) can be a normal pregnancy symptom due to increased demand on the body, swelling of feet and ankles (
B) is common in pregnancy but not typically a sign of immediate concern, Braxton Hicks contractions (
D) are normal and can occur throughout pregnancy. By prioritizing the headache that is unrelieved by analgesia, the nurse is focusing on a symptom that requires urgent attention.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test as it helps monitor fetal heart rate in response to movement, indicating a healthy fetal status. Pressing the button when fetal movement is felt ensures accurate data collection. Maintaining NPO status (
A) is not required for a nonstress test. Placing the client in a supine position (
B) can reduce blood flow to the fetus and is contraindicated. Instructing the client to massage the abdomen (
C) may interfere with the natural fetal movement patterns and affect test results.
Question 3 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client's condition to the local health department. This action is crucial to ensure that proper public health measures can be taken to prevent the spread of HIV to others. Reporting the client's condition will also enable the health department to provide necessary support and resources for the client and her baby. Administering penicillin G (choice
A) is not indicated for an HIV-positive client at 22 weeks of gestation. Annual pelvic exams (choice
B) are important but not the priority in this case. Waiting to start HIV medication until after delivery (choice
C) is not recommended as early treatment is essential.
Question 4 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You should press the handheld button when you feel your baby move.
Rationale:
1. Nonstress test monitors fetal heart rate in response to fetal movement.
2. Pressing the handheld button when feeling baby move allows correlation of fetal heart rate changes with movements.
3. This action helps assess the well-being of the fetus and indicates a reactive nonstress test.
4. It is essential for the nurse to educate the client on this key step for accurate test results.
Summary:
A: Incorrect. The test duration is not related to this specific instruction.
B: Incorrect. Lying in a supine position may affect blood flow and should be avoided.
C: Incorrect. Fasting is not necessary for a nonstress test.
Question 5 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess fetal well-being in high-risk pregnancies, including conditions that may affect fetal oxygenation like oligohydramnios. Oligohydramnios refers to a decreased level of amniotic fluid, which can lead to fetal compromise and requires close monitoring. Hyperemesis gravidarum (
B) is severe nausea and vomiting in pregnancy, not directly related to fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.