ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 1 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The nurse should report Coombs test result (
A) to the provider as it indicates potential hemolytic anemia. Mucous membrane assessment (
B) should be reported as changes can signify dehydration or infection. Intake and output (
C) should be reported to monitor fluid balance. Sclera color (G) should be reported as it can indicate liver dysfunction. The other choices, respiratory rate (
D), head assessment finding (E), heart rate (F), are important assessments but do not necessarily require immediate provider notification unless they are significantly abnormal and impacting the patient's condition.
Extract:
Question 2 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.
Question 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus (CMV) is commonly transmitted to the newborn through infected bodily fluids such as saliva and urine. This is important for the newly licensed nurses to understand as it highlights the need for strict infection control practices to prevent transmission to vulnerable infants.
Choice A is incorrect because acyclovir is not used for prophylactic treatment of CMV.
Choice C is incorrect as CMV typically does not present with visible lesions on the mother's genitalia.
Choice D is incorrect as airborne precautions are not necessary for newborns with CMV. It is crucial for nurses to focus on understanding the modes of transmission and prevention strategies for CMV to provide optimal care for both the mother and the newborn.
Question 4 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. One of the hallmark symptoms is a foul-smelling vaginal discharge. This discharge is typically greenish-yellow and frothy. At 20 weeks of gestation, hormonal changes may exacerbate the symptoms.
Choices A, B, and C are not typical findings in trichomoniasis. Thick, white vaginal discharge is more indicative of a yeast infection. Urinary frequency is more commonly associated with urinary tract infections. Vulva lesions are not a common symptom of trichomoniasis. In summary, the malodorous discharge is the key symptom that differentiates trichomoniasis from other conditions in this scenario.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of ophthalmic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. Immediate bonding is crucial for the newborn's emotional well-being and development.
Choices A, B, and C do not have a direct impact on the timing of ophthalmic ointment instillation and are therefore incorrect.
Choice A could actually be harmful as it delays necessary treatment for potential infections.
Choice B is not a contraindication for ointment instillation.
Choice C being delivered via cesarean does not impact the timing of ointment application.