ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
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 1 of 5
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------
Correct Answer: A,B
Rationale: The correct answer is A,B. First, providing education on medications is crucial to ensure the adolescent understands the prescribed treatment. This empowers them to adhere to the regimen, promoting better health outcomes. Second, administering ceftriaxone aligns with the provider's prescription and is a direct action the nurse must take to carry out the treatment plan.
Choices C, D, E, F, and G are incorrect because administering metronidazole and educating on condom use (
C) is not the immediate priority. Administering metronidazole is not mentioned in the provider's prescriptions, so it is not the first step.
Choices D, E, F, and G are irrelevant and not related to the provider's prescriptions or the adolescent's care.
Extract:
A nurse is caring for a newborn.
Exhibit1
Vital Signs
8 hr of age:
Temperature: 37.1° C (98.8° F) Axillary
Pulse rate: 132/min
Respiratory rate: 52/min
36 hr of age:
Temperature: 36.1° C (97" F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/min”
Question 2 of 5
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
| Assessment Findings | Hypoglycemia | Hyperbilirubinemia | Sepsis |
|---|---|---|---|
| Ecchymotic caput Succedaneum. | |||
| Decreased temperature. | |||
| Lethargy. | |||
| Poor feeding. | |||
| Respiratory distress. | |||
| Yellow sclera and oral mucosa. |
Correct Answer: B, C, D, E, F
Rationale: The correct answer is . Decreased temperature (
B) can indicate hypoglycemia, sepsis, or hypothermia. Lethargy (
C) can be a sign of hypoglycemia, sepsis, or other serious conditions. Poor feeding (
D) is common in hypoglycemia, sepsis, and other illnesses. Respiratory distress (E) is a red flag for sepsis. Yellow sclera and oral mucosa (F) suggest hyperbilirubinemia. Ecchymotic caput Succedaneum (
A) is not typically associated with these conditions.
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 3 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 ---
Correct Answer: A
Rationale: The correct answer is A: Endometritis. The client is at highest risk for developing endometritis evidenced by the client's median episiotomy. Endometritis is an infection of the lining of the uterus and is commonly associated with invasive procedures like episiotomy. The incision from a median episiotomy provides a pathway for bacteria to enter the uterus, increasing the risk of infection. The other choices are incorrect because mastitis is related to breastfeeding, postpartum hemorrhage is excessive bleeding after childbirth, group B streptococcus positive status is a risk for neonatal infection, and spontaneous vaginal delivery is a mode of delivery not directly related to endometritis.
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 4 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:
Step-by-step rationale for why answer D is correct:
1.
Choice D states, "As long as I keep my IUD, I don't need to use condoms." This statement indicates a misunderstanding as IUDs do not protect against sexually transmitted infections .
2. This statement shows a lack of understanding regarding the importance of using condoms to prevent STIs.
3.
Therefore, selecting
Choice D indicates that further education is required to clarify the misconception about the role of IUDs in STI prevention.
Summary:
-
Choice A is correct as it indicates a misunderstanding about the necessity of taking medications regardless of symptoms.
-
Choice B is correct as it states a potential consequence of untreated infections, showing understanding.
-
Choice C is correct as it highlights a symptom that warrants immediate medical attention.
-
Choice E is incorrect as it does not pertain to the understanding of contraception and STI prevention.
-
Choices F and G are not applicable and can be disregarded.
Extract:
A nurse is caring for a client who is pregnant in an antepartum clinic.
Vital Signs
0900:
Temperature 36.6°C (97.9°F)
Heart rate 88/min
Respiratory rate 18/min
Blood pressure 130/70 mm Hg
Oxygen saturation 97% on room air
1000:
Heart rate 76/min
Respiratory rate 20/min
Blood pressure 138/68 mm Hg
Oxygen saturation 98% on room air
Question 5 of 5
Which of the following findings should the nurse report to the provider?Select the 3 findings that should be reported.
Correct Answer: A,B,D
Rationale: The nurse should report uterine contractions (
A) to monitor for preterm labor, fetal heart rate (
B) to assess fetal well-being, and vaginal examination (
D) to evaluate cervical changes. Gestational age (
C) is typically known and doesn't require immediate reporting. Maternal blood pressure (E) is important but not a priority in this context.