ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rh(0) Immune globulin. After an amniocentesis, there is a risk of Rh sensitization due to potential mixing of maternal and fetal blood. Administering Rh(0) Immune globulin helps prevent the mother from developing antibodies against Rh-positive blood cells of the fetus. This intervention is crucial to prevent hemolytic disease of the newborn in subsequent pregnancies. Checking the client's temperature (
A) is important, but not the priority immediately after amniocentesis. Observing for uterine contractions (
B) is important but not the priority in this scenario. Monitoring the fetal heart rate (
D) is also important but not the priority post-amniocentesis.
Question 2 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. Palpating the uterus above the umbilicus indicates uterine atony, which can be caused by a distended bladder pressing on the uterus. Emptying the bladder helps the uterus contract effectively, preventing postpartum hemorrhage.
Choice A is incorrect as immediate intervention is needed.
Choice B (administering simethicone) is irrelevant to the situation.
Choice D (instructing the client to lie on their right side) does not address the underlying issue.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
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 3 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.
Extract:
Question 4 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because folic acid is crucial for preventing neural tube defects in the developing fetus. 600 micrograms is the recommended daily intake during pregnancy. A: Increasing protein intake is important but the specific amount mentioned is not accurate. B: Staying hydrated is important, but the amount specified is not related to nutrition during pregnancy. C: Increasing caloric intake is necessary during pregnancy, but the amount mentioned is not specific to individual needs.
Question 5 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is important during phototherapy as it maximizes the skin surface exposed to the light, aiding in bilirubin breakdown.
Choice A is incorrect as water feeds are unnecessary and may interfere with breastfeeding.
Choice B is incorrect as lotions can interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and does not warrant discontinuation of the therapy.