ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client is to receive Pergonal (menotropins) injections for infertility prior to in-vitro fertilization. Which of the following is the expected action of this medication?
Correct Answer: A
Rationale: The correct answer is A: Stimulation of ovulation. Pergonal contains menotropins, which are hormones that stimulate the ovaries to produce eggs. During in-vitro fertilization, the goal is to retrieve multiple eggs for fertilization, making ovulation stimulation crucial. Explanation for incorrect choices: B: Prolongation of the luteal phase - Pergonal does not affect the luteal phase, which occurs after ovulation. C: Promotion of cervical mucus production - Pergonal does not directly influence cervical mucus production. D: Suppression of menstruation - Pergonal does not suppress menstruation but rather induces ovulation.
Question 2 of 5
A client at 34 weeks' gestation reports decreased fetal movements. What should the nurse advise first?
Correct Answer: A
Rationale: The correct answer is A: Drink a glass of juice and lie down. This advice is based on the concept that consuming juice can stimulate fetal movements due to the increase in blood sugar levels. Lying down also helps the client focus on feeling the movements. This initial step is non-invasive and can potentially address the decreased fetal movements promptly. Choices B and D delay action, which can be dangerous if there is a significant issue with the baby. Choice C might lead to unnecessary waiting and potential risks if the fetus is in distress.
Question 3 of 5
The nurse is performing a prenatal assessment. What finding is considered a positive sign of pregnancy?
Correct Answer: B
Rationale: The correct answer is B, auscultation of fetal heart tones, because it is a definitive sign of pregnancy indicating the presence of a fetus. This can be heard around 10-12 weeks of gestation using a Doppler device. It is a positive sign as it directly confirms the existence of a developing fetus. A: A positive pregnancy test is a probable sign and can indicate pregnancy but is not definitive. C: Hegar's sign is a probable sign characterized by softening of the lower uterine segment, not specific to pregnancy. D: Chadwick's sign is a probable sign of pregnancy indicated by bluish discoloration of the cervix, vagina, and labia, not a definitive sign of pregnancy.
Question 4 of 5
The nurse is preparing a client for an amniocentesis. What is the priority nursing action before the procedure?
Correct Answer: C
Rationale: The correct answer is C: Ensure informed consent is signed. Before any invasive procedure like an amniocentesis, it is essential to ensure that the client has full understanding of the risks, benefits, and alternatives. This is crucial for autonomy and ethical practice. Administering IV fluids (choice A) is not a priority before an amniocentesis. Obtaining baseline vital signs (choice B) is important but not the priority over informed consent. Positioning the client in the Trendelenburg position (choice D) is not necessary for an amniocentesis procedure.
Question 5 of 5
The nurse is teaching a client about morning sickness. What recommendation should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Consume dry crackers before getting out of bed. This recommendation helps alleviate morning sickness by providing a bland and easily digestible snack to settle the stomach before getting up. By consuming dry crackers, the client can avoid an empty stomach, which can contribute to nausea. Eating large meals three times a day (A) can worsen morning sickness due to heavy digestion, while drinking fluids with meals (B) may exacerbate nausea. Avoiding eating before bedtime (D) is generally recommended, but it does not specifically address morning sickness.