ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
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 1 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:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Hematuria and Proteinuria 2+ are signs of potential worsening conditions that should be checked.
- Leukorrhea is unrelated to the diagnosis and can be disregarded.
- Positive clonus and the lab values BUN 40 mg/dL, Platelet count 110,000/mm3 are not mentioned in the table, so they should not be selected.
Extract:
Question 3 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum cardiomyopathy is a condition that can lead to heart failure, and monitoring blood pressure is essential to assess cardiac function and detect any signs of worsening heart failure. By assessing blood pressure twice daily, the nurse can identify any fluctuations or abnormalities early on and intervene promptly.
Choice A: Obtaining a prescription for misoprostol is not relevant to the care of a client with peripartum cardiomyopathy.
Choice C: Restricting daily oral fluid intake is not appropriate and may worsen the client's condition by potentially leading to dehydration.
Choice D: Administering an IV bolus of lactated Ringer's is not indicated for peripartum cardiomyopathy unless there is a specific indication such as hypovolemia.
In summary, assessing blood pressure twice daily is crucial for monitoring the client's cardiac status, while the other options are not relevant or may potentially be harmful in this context.
Question 4 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 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection due to the exposed neural tissue. Administering antibiotics helps reduce the risk of meningitis, which can be life-threatening. Monitoring rectal temperature (
B) is important but not the priority. Cleansing the site with povidone-iodine (
C) can cause irritation and is not recommended. Surgical closure (
D) should be done as soon as possible to prevent complications, not after 72 hours.