ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement indicates an understanding of car seat safety for newborns delivered at 38 weeks of gestation. Placing the car seat at a 45-degree angle helps prevent the newborn's head from falling forward, ensuring proper airway and breathing. This position mimics the natural sleeping position of a newborn and reduces the risk of oxygen desaturation.
Choice A is incorrect because using a sleep sack can interfere with the proper harness fit in the car seat, compromising the baby's safety.
Choice B is incorrect as a car seat challenge test is typically done for preterm infants, not those born at 38 weeks of gestation.
Choice D is incorrect because the recommendation is to keep infants in a rear-facing position until at least 2 years of age, not 1 year.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The nurse should report Coombs test result (
A) to the provider as it indicates potential hemolytic anemia. Mucous membrane assessment (
B) should be reported as changes can signify dehydration or infection. Intake and output (
C) should be reported to monitor fluid balance. Sclera color (G) should be reported as it can indicate liver dysfunction. The other choices, respiratory rate (
D), head assessment finding (E), heart rate (F), are important assessments but do not necessarily require immediate provider notification unless they are significantly abnormal and impacting the patient's condition.
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 3 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 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing the finger while it is still damp with antiseptic solution (choice
A) can dilute the blood sample. Smearing the blood onto the reagent strip (choice
B) can lead to inaccurate results. Holding the finger above the heart prior to puncture (choice
C) can affect blood flow and glucose levels.
Therefore, selecting the lateral side of the finger for puncture ensures a less painful and accurate blood glucose reading.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 5 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Hematuria and Proteinuria 2+ are signs of potential worsening conditions that should be checked.
- Leukorrhea is unrelated to the diagnosis and can be disregarded.
- Positive clonus and the lab values BUN 40 mg/dL, Platelet count 110,000/mm3 are not mentioned in the table, so they should not be selected.