ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a patient who is at 37 weeks of gestation and is being tested for Group B Streptococcus (GBS). The patient is multigravida and multipara with no history of GBS.
Question 1 of 5
Which of the following is an appropriate response by the nurse to the patient's question about why the test was not conducted earlier?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because Group B Streptococcus (GBS) testing is typically done between 35-37 weeks of gestation to accurately detect GBS colonization before delivery. This timing allows for appropriate interventions to prevent neonatal GBS infection.
Incorrect
Choices:
A: Lack of indication in earlier prenatal testing does not justify delaying GBS testing.
B: Previous negative deliveries do not rule out GBS colonization in the current pregnancy.
C: Symptoms are not reliable indicators of GBS presence, as many carriers are asymptomatic.
Summary:
Choice D is correct as it aligns with evidence-based practice guidelines for GBS testing during pregnancy, while the other choices provide inadequate or irrelevant justifications for delaying testing.
Extract:
A nurse is caring for a patient who is at 20 weeks of gestation and has trichomoniasis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Malodorous discharge. This finding suggests a possible infection, such as bacterial vaginosis or trichomoniasis. Malodor indicates an imbalance in vaginal flora, requiring further assessment and treatment. Thick, white discharge (
A) is characteristic of a yeast infection. Vulva lesions (
B) may indicate a sexually transmitted infection or dermatological issue. Urinary frequency (
D) could indicate a urinary tract infection but is not specific to vaginal health.
Choices E, F, G are not provided, but without additional information, they are irrelevant to the question.
Extract:
A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa.
Question 3 of 5
Which of the following assessment findings requires immediate follow-up?
Correct Answer: A
Rationale: The correct answer is A: Vaginal bleeding. This finding requires immediate follow-up as it could indicate a serious issue such as placental abruption, ectopic pregnancy, or preterm labor. Prompt assessment and intervention are crucial to ensure maternal and fetal well-being.
Choices B, C, and D are within normal ranges and do not require immediate follow-up.
Choice B (fetal heart rate of 174 bpm) is within the normal range for a fetus.
Choice C (fundal height of 33 cm) is appropriate for gestational age.
Choice D (abdomen soft on palpation and without tenderness) indicates normal findings.
Extract:
A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 4 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?
Correct Answer: A
Rationale: The correct answer is A: Scheduled induction of labor. In this scenario, the nurse should anticipate the provider discussing this treatment option with the patient because it is a common intervention for various obstetric conditions such as post-term pregnancy, preeclampsia, or fetal compromise. Induction of labor can help prevent complications and promote a safe delivery for both the mother and baby. The other choices are incorrect because: B - Immediate cesarean birth is typically considered in emergency situations and not as a routine treatment option. C - Administration of methotrexate is used for medical management of ectopic pregnancy, not for inducing labor. D - Dilation with suction curettage is a procedure used for managing certain gynecological conditions, not for labor induction.
Extract:
A nurse is obtaining a 2-hr postprandial blood glucose from a patient.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is the most appropriate action because the lateral side of the finger has fewer nerve endings, making it less painful for the patient. Puncturing this area also minimizes the risk of hitting bone and ensures an adequate blood flow for sampling. Holding the finger above the heart (choice
A) is incorrect as it may affect blood flow. Smearing blood onto the reagent strip (choice
B) is incorrect as it can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
C) is incorrect as it can dilute the blood sample.