ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A 45-year-old woman presents to the clinic for advice about contraception. What is the most appropriate contraception method for a woman who is nearing menopause?
Correct Answer: C
Rationale: The most appropriate contraception method for a woman nearing menopause is an IUD with progestin (Choice C). Progestin-containing IUDs are effective, long-lasting, and suitable for women of various ages. As women approach menopause, the hormonal changes make progestin-containing IUD a favorable option as it offers reliable contraception without the need for daily administration. Additionally, progestin can also help alleviate symptoms like heavy periods that women may experience during perimenopause. Choices A and B are not ideal as oral contraceptives with estrogen can increase the risk of blood clots in older women, and contraceptive injections may not be as convenient for someone nearing menopause. Barrier methods like condoms (Choice D) are less effective and may not provide the level of protection needed during this stage of life.
Question 2 of 5
The nurse provides education regarding male sterilization. What important information is provided?
Correct Answer: B
Rationale: The correct answer is B: "You will need to return to the office to check for sperm in your ejaculate." This information is crucial as it ensures the success of the sterilization procedure. By checking for sperm in the ejaculate, the effectiveness of the vasectomy can be confirmed. This step is important to ensure that the individual is indeed sterile and can rely on the procedure for contraception. Choice A is incorrect because vasectomy reversal is not always successful and should not be assumed. Choice C is incorrect as sterility is not immediate and may take several months after the procedure. Choice D is incorrect as consent forms for vasectomy typically require only the individual undergoing the procedure to give consent. In summary, choice B is correct because it emphasizes the need for follow-up to confirm sterility, while the other choices provide incorrect or irrelevant information regarding male sterilization.
Question 3 of 5
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions can indicate uterine hyperstimulation, leading to decreased fetal oxygenation. Staff should report this to the provider for further evaluation and management. Explanation: 1. Contraction durations of 95 to 100 seconds are prolonged and may indicate uterine hyperstimulation, potentially compromising fetal oxygenation. 2. Reporting this finding to the provider allows for timely intervention to prevent fetal distress. 3. Choices B, C, and D do not directly indicate a concern for fetal well-being during labor and would not require immediate reporting to the provider.
Question 4 of 5
A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase?
Correct Answer: A
Rationale: The correct answer is A: RBC count. During pregnancy, an increase in RBC count is expected due to physiological changes in the body to support the increased oxygen demand for the developing fetus. This is known as physiologic anemia of pregnancy. Bilirubin levels may remain stable or decrease during pregnancy. Fasting blood glucose levels may increase due to gestational diabetes, but this is not a universal finding. BUN levels can remain stable or slightly decrease during pregnancy due to increased renal blood flow and glomerular filtration rate.
Question 5 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: A Rh-negative mother who has an Rh-positive infant. Post-term infants are at higher risk for conditions such as Rh incompatibility. Since the mother is Rh-negative and the infant is Rh-positive, there is a potential for Rh incompatibility, leading to hemolytic disease of the newborn. This occurs when the mother's antibodies attack the infant's red blood cells. Choice B is incorrect because Rh incompatibility occurs when the mother is Rh-negative and the infant is Rh-positive. Choice C is incorrect as both mother and infant being Rh-positive do not lead to Rh incompatibility. Choice D is incorrect because Rh incompatibility does not occur when both mother and infant are Rh-negative.