ATI RN
ATI Maternal Newborn Proctored Questions
Question 1 of 5
A client at 37 weeks' gestation reports sudden gush of clear fluid. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Assess for fetal heart rate changes. This is the priority action because the sudden gush of clear fluid may indicate rupture of membranes, potentially leading to fetal distress. Assessing fetal heart rate changes helps determine the urgency of the situation and guides further interventions. Checking maternal vital signs (B) is important but not the priority in this scenario. Performing a sterile vaginal examination (C) should only be done after confirming rupture of membranes to prevent infection. Notifying the healthcare provider (D) can be done after assessing fetal well-being.
Question 2 of 5
The nurse is monitoring a client during the first stage of labor. What finding requires immediate intervention?
Correct Answer: C
Rationale: The correct answer is C because variable decelerations on the fetal monitor indicate umbilical cord compression, which can lead to fetal distress and hypoxia. Immediate intervention is needed to relieve the compression and prevent potential harm to the baby. Contractions every 3-5 minutes (A) are normal in the first stage of labor. A baseline fetal heart rate of 110 beats/minute (B) is within the normal range for a fetus. Client reporting back pain (D) is a common symptom of labor and not necessarily indicative of a complication requiring immediate intervention.
Question 3 of 5
The nurse is teaching a client about foods rich in folic acid during pregnancy. Which food should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A, citrus fruits. Folic acid is important for fetal development and helps prevent birth defects. Citrus fruits like oranges, grapefruits, and lemons are rich sources of folic acid. They provide the necessary nutrients for a healthy pregnancy. Lean meats (B) are good sources of protein but not specifically high in folic acid. Dairy products (C) are important for calcium but do not contain significant amounts of folic acid. Whole grains (D) are beneficial for fiber and nutrients, but they are not the best source of folic acid compared to citrus fruits.
Question 4 of 5
A client in labor with ruptured membranes is diagnosed with chorioamnionitis. What is the priority nursing action?
Correct Answer: A
Rationale: The correct answer is A: Administer prescribed antibiotics. The priority nursing action in a client with chorioamnionitis is to administer antibiotics promptly to prevent infection spread to the fetus and mother. Antibiotics help treat the infection and reduce complications. Encouraging ambulation (B) may not be safe due to the risk of infection. Increasing oxytocin infusion rate (C) could worsen the infection. Performing a sterile vaginal examination (D) is contraindicated as it can introduce more bacteria. Administering antibiotics is the most urgent and effective intervention in this situation.
Question 5 of 5
A client at 28 weeks' gestation with gestational diabetes is undergoing a nonstress test. What is a reassuring result?
Correct Answer: A
Rationale: The correct answer is A: Two accelerations in 20 minutes. Accelerations in fetal heart rate during a nonstress test indicate fetal well-being and adequate oxygenation. Two accelerations in 20 minutes are reassuring as they show a normal response to fetal movement and suggest a healthy fetal nervous system. Option B is incorrect because a fetal heart rate of 170 beats/minute may indicate fetal distress or tachycardia. Option C is incorrect as decreased fetal movement can be a sign of fetal compromise. Option D is incorrect as variable decelerations can indicate umbilical cord compression and require further evaluation.