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. The nurse should first implement administering doxycycline and ceftriaxone in the treatment of certain infections like gonorrhea and chlamydia. Administering these antibiotics promptly is crucial to start the treatment process effectively. Providing education on medications (choice
A) can follow once the initial treatment is administered. Administering metronidazole alone (choice E) or with educating on condoms (choice
D) is not appropriate for the initial treatment of gonorrhea or chlamydia. Administering metronidazole alone would not effectively address these infections.
Question 2 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: [0, 0, 0]
Extract:
Question 3 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: B, C, D, A
Rationale: The correct order for performing Leopold maneuvers is B, C, D, A. Firstly, palpating the fundus (
B) helps determine the fetal part. Next, determining the location of the fetal back (
C) guides the nurse to find the fetal back. Palpating for the fetal part at the inlet (
D) helps identify its presentation. Lastly, identifying the attitude of the head (
A) completes the assessment. Other choices are not relevant to the sequential assessment in Leopold maneuvers.
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 4 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 because decreased temperature (
B), lethargy (
C), poor feeding (
D), respiratory distress (E), and yellow sclera and oral mucosa (F) are consistent with hypoglycemia, hyperbilirubinemia, and sepsis. Decreased temperature can indicate hypoglycemia, lethargy and poor feeding can be seen in hypoglycemia and sepsis, respiratory distress can be a sign of sepsis, and yellow sclera and oral mucosa can be indicative of hyperbilirubinemia. Ecchymotic caput succedaneum is more related to birth trauma and is not specific to these conditions.
Extract:
Question 5 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: PHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is considered tachycardia in labor, which may indicate fetal distress. The nurse should report this finding to the provider promptly for further evaluation and intervention. Contractions lasting 80 seconds (choice
A) are within the normal range. Early decelerations (choice
B) are typically benign and do not require immediate intervention. A temperature of 37.4° C (choice
C) is slightly elevated but not a critical finding in active labor.
Therefore, choice D is the most concerning and requires immediate attention.