ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client at 10 weeks' gestation reports frequent nausea. What dietary recommendation should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Drink fluids between meals. This recommendation helps manage nausea during pregnancy by preventing dehydration, which can worsen symptoms. Consuming fluids between meals also helps maintain hydration and prevents an empty stomach, which can trigger nausea. A: Avoiding salty snacks is not directly related to managing nausea. C: Consuming three large meals a day may worsen nausea due to overeating. D: Avoiding protein-rich foods is not recommended as they are important for fetal development and overall nutrition during pregnancy.
Question 2 of 5
A client at 20 weeks' gestation reports leg cramps. What recommendation should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Stretch the legs before bed. Leg cramps during pregnancy are common due to increased weight and pressure on blood vessels. Stretching before bed helps prevent cramps by improving circulation and muscle relaxation. Increasing potassium intake (choice A) can help with muscle function but is not the primary intervention for leg cramps. Drinking fluids during meals (choice C) is important for hydration but does not directly address leg cramps. Reducing physical activity (choice D) may worsen circulation and muscle cramps.
Question 3 of 5
The nurse is educating an adolescent patient about Depo-Provera. Which statement should be included in this teaching session?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Choice C is correct because it accurately informs the adolescent about the potential side effects of Depo-Provera, which include irregular bleeding patterns such as heavy bleeding or spotting, or even the absence of periods. 2. This information is crucial for the patient's understanding and preparedness while using the medication. 3. Choices A, B, and D are incorrect because: - Choice A is inaccurate as Depo-Provera injections are typically required every 3 months, not 5 months. - Choice B is irrelevant to Depo-Provera as weight changes are not a common side effect of this medication. - Choice D is false as pregnancy history does not determine eligibility for Depo-Provera use.
Question 4 of 5
Which statement by the client would alert the nurse that she should not take oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C because smoking while taking oral contraceptives increases the risk of blood clots, stroke, and heart attack. Smoking and oral contraceptives together pose a higher risk than either alone. Choices A, B, and D are not direct contraindications for taking oral contraceptives. A: Moderate alcohol consumption is generally not contraindicated. B: Being slightly overweight and having difficulty with exercise are not absolute contraindications. D: Using condoms is a good practice but does not specifically indicate a reason not to take oral contraceptives.
Question 5 of 5
A patient has had four vaginal deliveries. What barrier contraceptive method’s efficacy is affected by this history?
Correct Answer: C
Rationale: The correct answer is C: cervical cap. This barrier contraceptive method's efficacy is affected by the patient's history of four vaginal deliveries due to changes in the cervix and vaginal canal post-deliveries. The cervical cap relies on proper placement over the cervix to prevent sperm from entering the uterus. However, after multiple vaginal deliveries, the cervix may become less firm and may have altered shape or size, leading to reduced effectiveness of the cervical cap. A: Internal condom and B: external condom are not affected by the history of vaginal deliveries as they do not rely on cervical fit for efficacy. D: Contraceptive gel is not directly affected by the number of vaginal deliveries as it is applied externally and does not rely on cervical anatomy for effectiveness.