ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client in active labor reports back pain while being examined by a nurse who finds her to be 8 cm dilated, 100% effaced, -2 station, and in the occiput posterior position. What action should the nurse take?
Correct Answer: C
Rationale: The correct action is to assist the client to the hands and knees position. This position, also known as the all-fours position, can help alleviate back pain by encouraging the baby to rotate into a more favorable position for delivery. By being on hands and knees, gravity assists in the rotation of the baby. This position can also help relieve pressure on the mother's back and potentially facilitate a smoother labor progress. Effleurage (choice A) may provide comfort but doesn't address the positional issue. Placing the client in lithotomy position (choice B) can worsen the occiput posterior position. Applying a scalp electrode to the fetus (choice D) is not indicated in this scenario.
Question 2 of 5
A healthcare professional is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g of magnesium sulfate in 500 mL of dextrose 5% in water (D5W). How many mL/hr should the IV infusion pump be set to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: To calculate the mL/hr for the IV infusion pump, we need to use the formula: (Desired dose in mg/hr * Volume of solution in mL) / Concentration of solution in mg/mL. Given: Desired dose = 2 g/hr = 2000 mg/hr Volume of solution = 500 mL Concentration of solution = 20 g in 500 mL = 20,000 mg in 500 mL = 40 mg/mL Now, plug these values into the formula: (2000 mg/hr * 500 mL) / 40 mg/mL = 25,000 mL/hr Round this to the nearest whole number, which is 25,000 mL/hr ≈ 50 mL/hr. Therefore, the IV infusion pump should be set to administer 50 mL/hr, making choice C the correct answer. Option A (60 mL/hr) and Option D (80 mL/hr) are incorrect as they do not match the calculated value. Option
Question 3 of 5
A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member?
Correct Answer: C
Rationale: The correct answer is C: Obtain a gift from the newborn to present to the sibling. This suggestion helps foster acceptance and bonding between the siblings by creating a positive association and sense of reciprocity. It allows the 7-year-old to feel included and appreciated in the new family dynamic. Explanation of why the other choices are incorrect: A: Allowing the sibling to hold the newborn during a bath may not be safe or appropriate, and could potentially lead to accidents or discomfort for the newborn. B: Forcing physical affection like kissing may not be well-received by the sibling and could create negative feelings towards the newborn. D: Switching the sibling's room with the nursery could disrupt the sibling's sense of stability and security, potentially causing confusion and anxiety.
Question 4 of 5
A healthcare provider is assessing fetal heart tones for a pregnant client. The provider has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the provider apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Correct Answer: C
Rationale: The correct answer is C, left lower quadrant. In the left occipital anterior fetal position, the fetus's back is on the left side of the mother's abdomen. To assess the point of maximum intensity of the fetal heart tones, the ultrasound transducer should be applied to the area closest to the fetal back, which is the left lower quadrant. Applying the transducer in this area allows for optimal detection of the fetal heart sounds. Choices A, B, and D are incorrect as they are not in proximity to the fetal back in the left occipital anterior position, leading to suboptimal detection of fetal heart tones.
Question 5 of 5
An adolescent is being taught about levonorgestrel contraception by a school nurse. What information should the nurse include in the teaching?
Correct Answer: A
Rationale: Step 1: Levonorgestrel is a type of emergency contraception that is most effective when taken within 72 hours after unprotected sex. Step 2: Taking the medication within the specified time frame increases its effectiveness in preventing pregnancy. Step 3: Thus, the nurse should emphasize to the adolescent the importance of taking the medication promptly after unprotected intercourse. Step 4: This information is crucial for the adolescent to understand the time-sensitive nature of levonorgestrel contraception. Summary: - Choice B is incorrect because it provides contradictory information. Levonorgestrel can be taken even if the individual is on an oral contraceptive. - Choice C is incorrect as starting a period is not a reliable indicator of pregnancy. A pregnancy test is recommended if there are concerns. - Choice D is incorrect because levonorgestrel is a single-dose emergency contraception and does not provide protection for 14 days.