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?
| Pelvic inflammatory. |
| Ectopic pregnancy. |
| Pyclonephritis. |
| C-reactive protein. |
| Beta hCG. |
| Urinalysis. |
Correct Answer: A
Rationale: For the correct answer A : (1, 0, 0, 0, 0, 0)
Rationale: Pelvic inflammatory disease (PI
D) is an infection of the female reproductive organs. It typically presents with symptoms like pelvic pain, abnormal vaginal discharge, fever, and painful urination. It is commonly associated with sexually transmitted infections. In this scenario, the client is most likely developing PID due to the presence of symptoms such as pelvic pain and abnormal discharge. Ectopic pregnancy (
B) presents with abdominal pain and vaginal bleeding, not typically associated with PID. Pyelonephritis (
C) is a kidney infection that manifests with fever, flank pain, and urinary symptoms, not specific to PID. C-reactive protein (
D) is a marker of inflammation, not a condition itself. Beta hCG (E) is a hormone indicative of pregnancy, not specific to PID. Urinalysis (F) can help diagnose urinary tract infections but
Extract:
Question 2 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a concerning symptom that could indicate a serious complication like preeclampsia. It is crucial to report this to the provider promptly to prevent potential harm to both the mother and the baby. Shortness of breath when climbing stairs (
A) can be a normal pregnancy symptom due to increased demand on the body, swelling of feet and ankles (
B) is common in pregnancy but not typically a sign of immediate concern, Braxton Hicks contractions (
D) are normal and can occur throughout pregnancy. By prioritizing the headache that is unrelieved by analgesia, the nurse is focusing on a symptom that requires urgent attention.
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating "I will eat foods that taste good instead of balancing my meals," the client shows an understanding of the importance of listening to their body's cravings and preferences while still maintaining a balanced diet to manage hyperemesis gravidarum. This response acknowledges the need to prioritize enjoyment of food while ensuring adequate nutrition.
Incorrect choices:
B: Avoiding a snack before bed may not address the issue of balancing meals throughout the day.
C: Having a cup of hot tea with each meal is unrelated to the principles of balancing meals or addressing hyperemesis gravidarum.
D: Eliminating dairy products may lead to nutrient deficiencies unless alternative sources of calcium and other essential nutrients are included in the diet.
Question 4 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.)
Correct Answer: B, C, D, A
Rationale: The correct sequence for performing Leopold maneuvers is B, C, D, A. First, palpate the fundus to identify the fetal part (
B). Next, determine the location of the fetal back (
C).
Then, palpate for the fetal part presenting at the inlet (
D). Finally, identify the attitude of the head (
A). This sequence allows for a systematic assessment of the fetus's position in the uterus, starting from identifying the fetal part and progressing to determining the position and attitude.
Choices E, F, and G are not relevant to the sequential steps of Leopold maneuvers and do not contribute to the proper assessment of fetal presentation.
Extract:
Exhibit1 Graphic Record: Blood pressure 130/78 mm Hg Respiratory rate 20/min Heart rate 90/min
Exhibit2:Diagnostic Results Hemoglobin 12 g/dL (11 to 16 g/dL) Hematocrit 34% (33% (0 47%) 1-hr glucose tolerance test 120 mg/dL (less than 180-190 mg/dL)
Exhibit3 Progress Notes FundalFundal height 30 cm Good fetal movement Not experiencing headache, dizziness, blurred vision, or vaginal bleedingFetal heart rate 110/min
Question 5 of 5
A nurse in an antepartum clinic is providing weeks of gestation. Upon reviewing the following findings should the nurse report to the provider? (Click on the 'Exhibit' button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: D
Rationale: The correct answer is D: Fetal heart rate (FHR). The nurse should report any abnormal fetal heart rate findings to the provider as it could indicate fetal distress or other complications. Monitoring FHR is crucial for assessing fetal well-being.
A: 1-hr glucose tolerance test is not relevant to the assessment of fetal well-being in this scenario.
B: Hematocrit is important for assessing the mother's blood volume but does not directly relate to fetal well-being.
C: Fundal height measurement helps estimate fetal growth but would not necessarily indicate an immediate concern that needs to be reported to the provider.
In summary, monitoring the FHR is essential for assessing fetal well-being and any abnormalities should be promptly reported for further evaluation and management.