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 symptom could indicate a potentially serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for the mother and baby. Shortness of breath when climbing stairs (
A) is common in late pregnancy due to the growing uterus pressing on the diaphragm. Swelling of feet and ankles (
B) is expected in pregnancy due to increased fluid retention. Braxton Hicks contractions (
D) are normal and not a cause for concern unless they become regular and closer together.
Question 2 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Staff members who take care of your baby will be wearing a photo identification badge. This statement promotes the security and safety of the newborn by ensuring that only authorized personnel are handling the baby. It helps prevent unauthorized individuals from gaining access to the newborn. This practice aligns with hospital security protocols and minimizes the risk of infant abduction or mix-ups.
Choice A is incorrect as it goes against current safety practices of not carrying newborns to the nursery by non-parents for security reasons.
Choice B is unrelated to the security and safety of the newborn.
Choice C is incorrect as it goes against safe sleep guidelines which recommend placing the baby in a separate sleep area to reduce the risk of Sudden Infant Death Syndrome (SIDS).
Question 3 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. Facial swelling in pregnancy could be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. This requires immediate medical attention to prevent complications for both the mother and the baby. Varicose veins in the calves (
B) are common in pregnancy but do not pose an immediate threat. Nonpitting 1+ ankle edema (
C) is a common finding in pregnancy and typically not concerning unless it worsens. Hyperpigmentation of the cheeks (
D) is also a common occurrence during pregnancy known as "the mask of pregnancy" and is not a cause for alarm.
Question 4 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In preterm infants, particularly those born at 26 weeks of gestation, minimal arm recoil is expected due to underdeveloped muscle tone. This is a characteristic finding in the New Ballard Score assessment for preterm newborns. Option B, popliteal angle of 90°, is incorrect as preterm infants typically have a popliteal angle greater than 90°. Option C, creases over the entire foot sole, is also incorrect as preterm infants usually have a smooth foot sole without creases. Option D, raised areolas with 3 to 4 mm buds, is not relevant to the assessment of gestational age in preterm newborns.
Question 5 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: D
Rationale: The correct answer is D: Descent. At 9 cm dilation, the client is in the second stage of labor, which consists of the descent and birth of the baby. Increasing rectal pressure indicates fetal descent and impending birth. Contractions 2-3 min apart lasting 80-90 seconds are characteristic of the active phase of the second stage of labor. The passive descent phase occurs earlier when the cervix is not fully dilated. The early phase is part of the first stage of labor. Active labor typically begins when the cervix is around 6 cm dilated.
Therefore, D is the correct choice as it aligns with the client's symptoms and stage of labor progression.