ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
A nurse in a clinic a caring for a 16-year-old adolescent
Exhibit1:
Provider Prescriptions: Standing prescriptions for clients who present with abdominal. Obtain laboratory
tests, Urinalysis, Cervical culture C-reactive protein Beta Hcg
Question 1 of 5
Which of the following findings should the nurse report to the provider? Select all that apply
| Abdominal assessment. |
| Vaginal Discharge. |
| Heart rate. |
| Temperature. |
| Dyspareunia. |
| Condom usage. |
Correct Answer: B, E
Rationale:
To determine which findings the nurse should report to the provider, we need to consider the significance of each choice. Vaginal discharge should be reported as it can indicate infection or other gynecological issues. Dyspareunia (E), which is painful intercourse, should also be reported as it could suggest underlying health concerns. Abdominal assessment (
A), heart rate (
C), temperature (
D), and condom usage (F) are important but do not necessarily require immediate reporting to the provider unless there are specific concerns related to them.
Choice G is blank, so it is not applicable.
Therefore, the correct answers are B and E.
Extract:
Question 2 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because frequent vomiting with significant weight loss in a short period can indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and malnutrition, posing risks to both the mother and fetus. Weight loss of 3 lb in 1 week is concerning and requires immediate medical attention to prevent complications.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are often due to increased blood volume and hormonal changes during pregnancy and are usually not a serious issue unless severe or persistent.
D: Increased vaginal discharge is a common symptom during pregnancy due to hormonal changes and increased blood flow to the pelvic area, typically not a cause for immediate concern unless accompanied by other symptoms like itching or foul odor.
Question 3 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring the correct identification of the newborn is crucial for providing safe and effective care. Incorrect identification can lead to errors in medication administration, treatment, and monitoring. Confirming the newborn's Apgar score (
A) is important for assessing the newborn's initial condition but is not the priority in this situation. Administering vitamin K (
C) is essential for newborns but can be done after verifying identification. Determining obstetrical risk factors (
D) is important for understanding the newborn's medical history but is not the immediate priority.
Question 4 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A: Lays the newborn across their lap and gently sways. This is a positive parenting behavior because it helps create a comforting environment for the newborn by providing physical closeness and rhythmic movement, which can help soothe the baby. Placing the newborn in the crib in a prone position (choice
B) is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS). Offering a pacifier dipped in formula (choice
C) is not advised as it can lead to overfeeding and dental issues. Preparing a bottle of formula mixed with rice cereal (choice
D) is not appropriate for a newborn as they have specific feeding needs.
Question 5 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.