ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
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 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: 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.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa Physical Examination
Funda height 33 cm
Fetal heart rate 174/min
Moderate amount of bright real vaginal bleeding
Abdomen soft palpation and without tenderness
Question 2 of 5
Which of the following assessment findings requires Immediate follow-up? Select all that apply,
Correct Answer: B,C,E,F
Rationale: The correct assessment findings that require immediate follow-up are B, C, E, and F. Vaginal bleeding (
B) could indicate a serious complication in pregnancy. HCT (
C) and Hgb (F) levels are crucial for evaluating anemia or bleeding issues. Fetal heart rate (E) provides insight into fetal well-being. Platelet count (
A), RBC count (
D), and WBC count (G) are important but not typically requiring immediate follow-up unless in specific critical situations.
Extract:
Question 3 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period (August 10), then subtracting 3 months, and finally adding 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives May 17. This estimation is based on the assumption of a 28-day menstrual cycle.
Choice A (May 13) is incorrect because it does not account for the full 3 months.
Choice C (May 3) is incorrect as it miscalculates the 3 months and adds 7 days incorrectly.
Choice D (May 20) is wrong as it adds 7 days to the correct date but does not subtract the 3 months accurately.
Therefore, B is the correct choice based on the accurate application of Nägele's Rule.
Question 4 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 5 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? At 6 weeks of gestation, protein intake is crucial for fetal development. Vegan diets may lack sufficient protein, so assessing this is important.
Choice B is incorrect as Vitamin C is not typically a concern in vegan diets.
Choice C is incorrect as shellfish is not suitable for a vegan diet.
Choice D is incorrect as the client's choice to avoid meat is already known.