ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
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
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.
Extract:
Question 2 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.
Question 3 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, the fetus's heart rate is typically around 140-160 beats per minute. This finding indicates normal fetal well-being. Deep tendon reflexes being 4+ (choice
A) is not relevant to gestational age assessment. Fundal height of 14 cm (choice
B) is too low for 18 weeks gestation. A blood pressure of 142/94 mm Hg (choice
C) is elevated for pregnancy and indicates hypertension.
Therefore, the correct answer is D.
Question 4 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.
Question 5 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution. This is crucial to assess for any potential hypotension, a common side effect of epidural anesthesia. Close monitoring allows for prompt intervention if hypotension occurs, ensuring the client's safety.
Choice A is incorrect because placing the client in a supine position following epidural anesthesia can lead to hypotension.
Choice B is incorrect as administering dextrose solution is not necessary for epidural anesthesia.
Choice D is incorrect as NPO status is not required for epidural anesthesia administration.