ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is crucial for accurate identification. This step confirms that the parent is indeed the rightful guardian of the newborn, preventing mix-ups and ensuring the newborn's safety. Verifying the parent's identity through their name and date of birth (Option
B) is helpful but not as reliable as matching identification band numbers. Checking the newborn's security tag number (Option
C) is important for hospital security but does not directly verify the parent's identity. Matching the newborn's date and time of birth to the information in the parent's medical record (Option
D) is not as specific and reliable as matching identification band numbers.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 2 of 5
Which of the following indicates whether the adolescent understands the teaching on requires further education?
| client statements | Indicates understanding | Requires further education | |
|---|---|---|---|
| I should continue taking all my medications even if I don't show any symptoms. | |||
| If I continue to get this type of infection, it can affect my ability to have kids in the future. | |||
| I should go to the emergency department if my urine turns dark. | |||
| As long as I keep my IUD, I don't need to use condoms. | |||
| I'm more likely to get a sunburn while taking these medications. |
Correct Answer: D
Rationale: [0, 0, 0]
Extract:
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating she will eat foods that taste good instead of balancing meals, the client demonstrates understanding of the need to prioritize eating to manage hyperemesis gravidarum. This choice indicates she recognizes the importance of maintaining adequate nutrition despite food aversions.
Choice B is incorrect as avoiding bedtime snacks may worsen nausea.
Choice C is incorrect as caffeine in tea can exacerbate nausea.
Choice D is incorrect as dairy products are important for calcium and protein intake during pregnancy.
Question 4 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B. The client at 34 weeks with epigastric pain is the priority as it could indicate preeclampsia, a serious condition requiring immediate attention to prevent harm to both the mother and the baby. Epigastric pain can be a sign of liver involvement in preeclampsia. Gestational diabetes (choice
A) with slightly elevated blood glucose levels can be managed and monitored. Low hemoglobin levels at 28 weeks (choice
C) may require treatment but are not as urgent as potential preeclampsia. Urinary symptoms at 39 weeks (choice
D) could be indicative of a urinary tract infection, which is important but not as urgent as suspected preeclampsia.
Extract:
A nurse is caring for a postpartum client in an outpatient setting
Exhibit1:
History and Physical
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation.
Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min
group B streptococcus 8-hemolytic: positive (negative)
Received 2 doses of Intravenous penicillin G while in labor”
Question 5 of 5
complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---
| Endometritis. |
| Mastitis. |
| Postpartum hemorrhage. |
| Group B streptococcus positive status. |
| Spontaneous vaginal delivery. |
| Median episiotomy. |
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Endometritis is an infection of the uterine lining, commonly occurring post-delivery.
2. The client's risk for endometritis increases due to factors like prolonged labor, multiple vaginal exams, and retained placental fragments.
3. The client's condition or symptoms may include fever, uterine tenderness, foul-smelling lochia.
4. The other options (B-F) are not directly related to the highest risk for developing endometritis post-delivery.