ATI RN
RN ATI Maternal Newborn 2023 with NGN 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 should first implement --- and ---
Correct Answer: B, C
Rationale: The correct answer is B, C. First, administering doxycycline is essential in treating Chlamydia, as it is the first-line antibiotic. Next, administering ceftriaxone is crucial for treating concurrent gonorrhea infections. Providing education on medications (
A) can come after the initial treatment. Administering metronidazole alone (E) does not address Chlamydia or gonorrhea. Administering metronidazole and educating on condom use (
D) is not the first step in managing Chlamydia and gonorrhea infections.
Extract:
Question 2 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in newborns can manifest as respiratory distress due to inadequate glucose supply to meet the energy demands of breathing. Hypertonia, increased feeding, and hyperthermia are not specific signs of hypoglycemia in newborns. Hypertonia may indicate other conditions like hypocalcemia, while increased feeding may be a compensatory mechanism to increase blood glucose levels. Hyperthermia can be caused by various factors unrelated to hypoglycemia in this context.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical record
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
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for---------------------- and ------------------
Correct Answer: A,E,F
Rationale: The correct answer is A, E, and F. The nurse should anticipate a prescription for doxycycline and ceftriaxone to treat the pelvic inflammatory disease. Doxycycline is a common antibiotic used to treat pelvic inflammatory disease caused by chlamydia or gonorrhea. Ceftriaxone is another antibiotic that may be prescribed in combination with doxycycline for broader coverage. Additionally, providing education on medications is crucial to ensure the adolescent understands the treatment plan and complies with the prescribed regimen.
Choices B, C, and D are incorrect as acyclovir is used to treat herpes infections, imiquimod is used for certain skin conditions like genital warts, and fluconazole is an antifungal medication not typically used for pelvic inflammatory disease.
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 caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.