ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus (CMV) is commonly transmitted to the newborn through infected bodily fluids such as saliva and urine. This is important for the newly licensed nurses to understand as it highlights the need for strict infection control practices to prevent transmission to vulnerable infants.
Choice A is incorrect because acyclovir is not used for prophylactic treatment of CMV.
Choice C is incorrect as CMV typically does not present with visible lesions on the mother's genitalia.
Choice D is incorrect as airborne precautions are not necessary for newborns with CMV. It is crucial for nurses to focus on understanding the modes of transmission and prevention strategies for CMV to provide optimal care for both the mother and the newborn.
Question 2 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum cardiomyopathy is a condition that can lead to heart failure, and monitoring blood pressure is essential to assess cardiac function and detect any signs of worsening heart failure. By assessing blood pressure twice daily, the nurse can identify any fluctuations or abnormalities early on and intervene promptly.
Choice A: Obtaining a prescription for misoprostol is not relevant to the care of a client with peripartum cardiomyopathy.
Choice C: Restricting daily oral fluid intake is not appropriate and may worsen the client's condition by potentially leading to dehydration.
Choice D: Administering an IV bolus of lactated Ringer's is not indicated for peripartum cardiomyopathy unless there is a specific indication such as hypovolemia.
In summary, assessing blood pressure twice daily is crucial for monitoring the client's cardiac status, while the other options are not relevant or may potentially be harmful in this context.
Question 3 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of ophthalmic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. Immediate bonding is crucial for the newborn's emotional well-being and development.
Choices A, B, and C do not have a direct impact on the timing of ophthalmic ointment instillation and are therefore incorrect.
Choice A could actually be harmful as it delays necessary treatment for potential infections.
Choice B is not a contraindication for ointment instillation.
Choice C being delivered via cesarean does not impact the timing of ointment application.
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are not consumed in a vegan diet. Fortified soy milk is a suitable option for vegans to increase B12 intake as it is fortified with this essential vitamin. Raw carrots (
B) and fresh citrus fruits (
C) do not contain significant amounts of B12. Brown rice (
D) is not a source of B12 either. It is important for the nurse to recommend fortified soy milk to ensure the client meets their B12 requirements on a vegan diet.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 5 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Increased warmth in the extremity: Indicates worsening condition as it can be a sign of infection or inflammation in deep vein thrombosis.
- Tachycardia: Indicates worsening condition as it can be a sign of stress on the cardiovascular system due to the clot.
- Leukocytosis: Indicates worsening condition as it can be a sign of infection or inflammation.
- Scant lochia rubra: Indicates improving condition as it suggests reduced postpartum bleeding, which is a positive sign.