ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
The nurse is reviewing laboratory results in the adolescent's medical record.
Exhibit 1
Vital Signs
1300: Blood pressure 118/72 mm Hg, Heart rate 100/min ,Respiratory rate 20/min ,Temperature 38.3° C
(101° F)
Exhibit 2:
Provider Prescriptions 1300: Standing prescriptions for clients who present with abdominal pain: Obtain
laboratory tests: Urinalysis Cervical culture C-reactive protein Beta hCG
Exhibit 3:
Nurses' Notes 1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0
to 10 pain scale and describes pain as constant and dull. Reports nausea and vomiting over past 24
hours. Reports painful urination and pain during sexual intercourse with minimal vaginal itching-
Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal discharge
observed. Reports last menstrual period was 3 weeks ago as normal period lasted 4 days. “
Question 1 of 5
Which of the following conditions is the client most likely developing?
Correct Answer: A
Rationale: [1, 0, 0, 0, 0, 0]
The correct answer is A: Pelvic inflammatory. Pelvic inflammatory disease is an infection of the female reproductive organs, often caused by sexually transmitted infections. It presents with symptoms like pelvic pain, abnormal vaginal discharge, and fever. Ectopic pregnancy (
B) is the implantation of a fertilized egg outside the uterus and presents with abdominal pain and vaginal bleeding. Pyelonephritis (
C) is a kidney infection, typically causing fever and flank pain. C-reactive protein (
D) is a marker for inflammation and infection, not a specific condition. Beta hCG (E) is a hormone produced in pregnancy. Urinalysis (F) is a test to analyze urine composition, not a condition.
Extract:
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The correct answer is C because continuing to take insulin even when experiencing nausea and vomiting is crucial for managing blood glucose levels in pregestational type 1 diabetes during pregnancy. Nausea and vomiting can lead to decreased food intake, which may result in hypoglycemia if insulin doses are not adjusted accordingly. It is important for the client to maintain stable blood glucose levels for optimal fetal health.
Summary of Incorrect
Choices:
A: Increasing insulin doses during the first trimester may not be necessary and should be done under the guidance of a healthcare provider.
B: Exercising with blood glucose levels of 250 or greater is not safe and can lead to further hyperglycemia.
D: Consuming a bedtime snack high in refined sugar can cause blood glucose spikes and should be avoided in diabetes management.
Question 3 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. Facial swelling in pregnancy could be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. This requires immediate medical attention to prevent complications for both the mother and the baby. Varicose veins in the calves (
B) are common in pregnancy but do not pose an immediate threat. Nonpitting 1+ ankle edema (
C) is a common finding in pregnancy and typically not concerning unless it worsens. Hyperpigmentation of the cheeks (
D) is also a common occurrence during pregnancy known as "the mask of pregnancy" and is not a cause for alarm.
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 4 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 ---
| Endometritis. |
| Mastitis. |
| Postpartum hemorrhage. |
| Group B streptococcus positive status. |
| Spontaneous vaginal delivery. |
| Median episiotomy. |
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Endometritis is an infection of the uterine lining, commonly occurring post-delivery.
2. The client's risk for endometritis increases due to factors like prolonged labor, multiple vaginal exams, and retained placental fragments.
3. The client's condition or symptoms may include fever, uterine tenderness, foul-smelling lochia.
4. The other options (B-F) are not directly related to the highest risk for developing endometritis post-delivery.
Extract:
Question 5 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to determine respiratory function (
Choice
A). This is crucial as an unresponsive client may have compromised breathing which can lead to serious consequences such as hypoxia or respiratory arrest. Assessing respiratory function will help the nurse identify any immediate life-threatening issues and initiate appropriate interventions. Increasing IV fluid rate (
Choice
B) may be important later but is not the priority in this situation. Accessing emergency medications (
Choice
C) and collecting a maternal blood sample (
Choice
D) can also be important but do not address the immediate need to ensure adequate oxygenation. By prioritizing respiratory function assessment, the nurse can quickly address the most critical aspect of the client's care.