ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client in the second stage of labor reports intense rectal pressure. What does this finding indicate?
Correct Answer: C
Rationale: Step 1: In the second stage of labor, the baby is descending into the birth canal for delivery. Step 2: Intense rectal pressure is a common sensation as the baby moves down. Step 3: This indicates progress in labor as the baby is descending. Step 4: Choice A is incorrect as breech position presents differently. Step 5: Choice B is incorrect as incomplete cervical dilation may not cause rectal pressure. Step 6: Choice D is incorrect as effective labor contractions are needed for descent.
Question 2 of 5
A client at 20 weeks' gestation asks about fetal movements. What is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because quickening, described as fluttering movements, is typically felt by pregnant individuals around 18-20 weeks of gestation. This indicates fetal movement and is an important milestone in pregnancy. Choices A and D are incorrect as fetal movements can be felt as early as 18-20 weeks. Choice B is incorrect as feeling strong, regular movements is not expected until later in the pregnancy.
Question 3 of 5
The nurse is assessing a client with suspected preterm labor. Which finding confirms the diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation of 3 cm. This finding confirms preterm labor as it indicates cervical changes associated with labor progression. Regular uterine contractions every 10 minutes (choice A) may suggest labor but alone doesn't confirm preterm labor. Lower back pain and cramping (choice C) are common symptoms but not specific to preterm labor. A positive fetal fibronectin test (choice D) may indicate an increased risk of preterm labor but doesn't confirm the diagnosis definitively.
Question 4 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 5 of 5
The nurse is preparing a client for induction of labor. What is the purpose of administering oxytocin?
Correct Answer: A
Rationale: The correct answer is A: Stimulate uterine contractions. Oxytocin is administered to induce labor by increasing the frequency and strength of uterine contractions. This helps progress labor and facilitate delivery. Choice B is incorrect as pain relief is usually achieved through analgesics or anesthesia. Choice C is incorrect because cervical ripening is typically promoted with medications like prostaglandins. Choice D is also incorrect as oxytocin can actually cause a temporary increase in blood pressure.