ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 5
A client at 28 weeks' gestation reports feeling fewer fetal movements. What should the nurse recommend first?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Drink a glass of juice and lie down. This recommendation is based on the fact that maternal perception of fetal movements can be influenced by factors such as maternal stress, fatigue, or low blood sugar levels. By consuming juice and lying down, the client may be able to stimulate the baby's movements due to the natural increase in blood sugar levels and relaxation. Option A) Perform a nonstress test may not be the first step as it involves going to a healthcare facility, and initial self-care measures should be attempted first. Option C) Notify the healthcare provider immediately may be considered if the client's condition does not improve after trying self-care measures. Option D) Schedule an ultrasound is not the initial step unless other interventions have been ineffective. Educationally, it is important to teach pregnant clients about monitoring fetal movements and when to seek help. Clients should be informed about simple measures they can take at home, like consuming juice and lying down, to assess fetal well-being before seeking medical intervention. Understanding these steps is crucial for promoting maternal and fetal health during pregnancy.
Question 2 of 5
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select one that does not apply.
Correct Answer: B
Rationale: In the context of pharmacology and maternal newborn care, it is crucial for nurses to educate patients about potential side effects of medications, including oral combination contraceptives. The correct answer, B) Thick vaginal discharge, is not a common side effect of oral contraceptives. A) Irregular bleeding is a common side effect of oral contraceptives, especially during the first few months of use as the body adjusts to the hormones. C) Nausea is another common side effect, which usually subsides after a few weeks. D) Breast tenderness can also occur as a side effect of hormonal contraceptives due to hormonal changes in the body. Educationally, it is important for nurses to understand the side effects of medications to provide comprehensive patient education. By knowing the side effects, nurses can effectively counsel patients on what to expect and when to seek medical advice. This helps promote patient adherence to the prescribed treatment plan and ensures patient safety and well-being.
Question 3 of 5
A 35-year-old patient comes to the clinic 2 days after a tubal ligation. She complains of abdominal pain and swelling and redness at the surgical incision. What does the nurse know is a common complication of this procedure?
Correct Answer: D
Rationale: Infection is a common complication after tubal ligation, indicated by redness and swelling at the surgical site. Choice A is incorrect as ileus is a bowel obstruction, not typically a complication of tubal ligation. Choice B, liver enlargement, is unrelated to tubal ligation. Choice C, constipation, may be a side effect but is not a primary concern after this procedure.
Question 4 of 5
A patient calls and says she used her diaphragm on Saturday night at 8:00 p.m., again on Sunday morning at 2:00 a.m., and again at 8:00 a.m. She is wondering when she can safely remove it while still having effective contraception. What is the nurse’s best response?
Correct Answer: D
Rationale: In general, a diaphragm should be left in place for at least 6 hours after intercourse but no more than 24 hours. Based on the patient's usage times on Saturday night at 8:00 p.m., Sunday morning at 2:00 a.m., and Sunday morning at 8:00 a.m., she can safely remove the diaphragm on Monday morning at 8:00 a.m. This ensures she has used it for the necessary timeframe for effective contraception.
Question 5 of 5
The nurse is providing education on a medical abortion. How would she describe the action of the medications?
Correct Answer: C
Rationale: Medications used in a medical abortion typically consist of a combination of Mifepristone and Misoprostol. The action of these medications involves three main effects: softening the cervix to facilitate the expulsion of the pregnancy tissue, causing necrosis of the uterine lining to disrupt the pregnancy, and inducing contractions to expel the contents of the uterus. This process is different from a surgical abortion, which involves a procedure to remove the pregnancy tissue from the uterus.