ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby’s face with plain water. This instruction is important as newborns have sensitive skin that can easily be irritated by harsh chemicals. Washing the baby's face with plain water is gentle and safe.
Choice A is incorrect as bathing a baby immediately after a feeding can lead to discomfort and potential regurgitation.
Choice B is incorrect as bumper pads pose a suffocation risk for babies.
Choice C is incorrect as a soft mattress increases the risk of Sudden Infant Death Syndrome (SIDS).
In summary, washing the baby's face with plain water is the correct choice as it promotes safety and avoids potential harm to the newborn.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because newborns should be fed frequently, at least every 3 hours, to ensure they receive enough nutrients and maintain hydration. This frequent feeding schedule helps establish a good milk supply for the breastfeeding mother. Option A is incorrect because newborns should be allowed to nurse as long as they want on each breast to ensure they get enough hindmilk. Option B is incorrect as newborns do not need water and offering water may interfere with breastfeeding. Option C is incorrect as newborns should have at least 6-8 wet diapers a day to indicate adequate hydration.
Question 3 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because the occipitoposterior position can result in back labor due to pressure on the mother's sacrum. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in relieving this specific discomfort.
Incorrect options:
A: Suprapubic pain is not typically associated with occipitoposterior position, so this question is not directly related to the intervention.
B: Pelvic pressure may not be the main concern with occipitoposterior position, making this question less relevant.
C: Contractions feeling further apart may not be directly impacted by the hands-and-knees position in this scenario.
Summary: Option D is correct as it targets the specific issue of back labor associated with occipitoposterior position, while the other options do not address the primary concern or may not be influenced by the intervention.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 4 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
1. Fundus at level of umbilicus: (Indication of potential improvement) - This finding indicates the uterus is contracting well, which is a positive sign postpartum.
2. Cloudy urine: (Unrelated to diagnosis) - Cloudy urine is not typically associated with postpartum assessment and may be due to other factors like dehydration.
3. Blood pressure 80/50 mm Hg: (Indication of potential worsening condition) - This blood pressure reading is low and could indicate hypotension, which is concerning postpartum.
4. Moderate lochia rubra: (Unrelated to diagnosis) - Lochia rubra is expected postpartum and is not directly related to the assessment findings.
5. Thready pulse: (Indication of potential improvement) - A thready pulse may indicate dehydration or hypovolemia, but if it improves over
Extract:
Question 5 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D.
A: Labor induction with oxytocin can lead to uterine atony, increasing the risk of postpartum hemorrhage.
C: Vacuum-assisted delivery can cause uterine atony and trauma, contributing to postpartum hemorrhage.
D: History of uterine atony indicates a previous issue with uterine contractions, making the client more susceptible to postpartum hemorrhage.
B: Newborn weight is not directly related to postpartum hemorrhage risk.
E: History of human papillomavirus does not increase the risk of postpartum hemorrhage.
In summary, labor induction with oxytocin, vacuum-assisted delivery, and a history of uterine atony are factors that place the client at risk for postpartum hemorrhage.