ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
A nurse in the emergency department is caring for a 19-year-old client
who is at 18 weeks of gestation.
Exhibit 1
Nurses' Notes
Client presents with reports of nausea and vomiting for the past
several weeks, which has worsened in severity. Client states that
they have been unable to retain even clear fluids for the past 48
hr. Client reports no pain. Client reports a history of migraines
and asthma.
Question 1 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:
The correct actions to take for addressing hyperemesis gravidarum would be to insert a peripher-all access device for intravenous fluids and prepare the client for surgery if necessary. Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy, which may require IV fluids and, in severe cases, surgical intervention. The nurse should monitor urine ketones to assess for dehydration and Kleihauer-Betke values to monitor for blood loss, both of which are important parameters to assess the client's progress in managing hyperemesis gravidarum.
Extract:
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. One of the hallmark symptoms is a foul-smelling vaginal discharge. This discharge is typically greenish-yellow and frothy. At 20 weeks of gestation, hormonal changes may exacerbate the symptoms.
Choices A, B, and C are not typical findings in trichomoniasis. Thick, white vaginal discharge is more indicative of a yeast infection. Urinary frequency is more commonly associated with urinary tract infections. Vulva lesions are not a common symptom of trichomoniasis. In summary, the malodorous discharge is the key symptom that differentiates trichomoniasis from other conditions in this scenario.
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 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 5 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.