ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client presents with uterine hypotonicity and postpartum hemorrhage. Which action should the nurse prioritize?
Correct Answer: B
Rationale:
Rationale: Massaging the client's fundus helps to stimulate uterine contractions and control postpartum hemorrhage caused by uterine hypotonicity. This action helps prevent further blood loss and promotes uterine tone. Checking capillary refill would not directly address the immediate issue of hemorrhage. Inserting a urinary catheter is not a priority in managing postpartum hemorrhage. Preparing for a blood transfusion may be necessary later, but addressing the uterine hypotonicity and hemorrhage is the priority.
Question 2 of 5
A healthcare professional is providing information to a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the healthcare professional include? (Select all that apply)
Correct Answer: C
Rationale: The correct answer is C: Perform the pelvic rock exercise every day. This exercise helps strengthen the core muscles, which can alleviate backache during pregnancy. It also promotes flexibility in the lower back and pelvis.
Avoiding any lifting (
A) is not a practical measure as some lifting may be necessary in daily activities. Performing Kegel exercises (
B) strengthens pelvic floor muscles but does not directly address backache. Avoiding standing for prolonged periods (
D) can help reduce backache but is not as effective as specific exercises targeting the back muscles like the pelvic rock exercise.
Question 3 of 5
A client who is at 22 weeks gestation is being educated by a nurse about the amniocentesis procedure. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: You should empty your bladder before the procedure. This is important because a full bladder can obstruct the visualization of the fetus during amniocentesis. By emptying the bladder, the uterus is better positioned for the procedure, making it safer and more effective.
Explanation:
1. A (You will lie on your right side during the procedure) is incorrect because the position during amniocentesis is typically on the back or slightly tilted to the left.
2. B (You should not eat anything for 24 hours before the procedure) is incorrect as fasting is not required for amniocentesis.
3. D (The test is performed to determine gestational age) is incorrect as amniocentesis is used to detect genetic abnormalities, not gestational age.
Question 4 of 5
A client in an obstetrical clinic is discussing using an IUD for contraception with a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D. Checking the strings of the IUD after periods ensures that the device is in place. This indicates understanding of IUD maintenance.
Choice A is incorrect because IUDs usually last 3-10 years and do not need annual replacement.
Choice B is incorrect because nulliparous women can also use IUDs.
Choice C is incorrect as fertility typically returns quickly after IUD removal, not necessarily after 5 months.
Question 5 of 5
A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client?
Correct Answer: D
Rationale: The correct answer is D. Using the first morning urine specimen for a home pregnancy test is recommended because it is more concentrated, increasing the accuracy of the test. This is due to the higher levels of the pregnancy hormone hCG present in the urine after a night of not urinating.
Choice A is incorrect because pregnancy testing can usually be done as early as 1-2 weeks after conception, not necessarily 4 weeks.
Choice B is incorrect as being on medications does not typically affect the accuracy of a pregnancy test.
Choice C is incorrect as there is no need for fasting before a pregnancy test; it does not impact the test results.