ATI RN
ATI Maternal Newborn Proctored Exam 2024 Questions
Question 1 of 5
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
Correct Answer: D
Rationale: The order that the nurse should question is "Ampicillin 200mg./kg IV every 6 hours." The usual dosage for ampicillin is 200-300 mg/kg/day divided into 4-6 doses, not every 6 hours. Administering ampicillin every 6 hours at 200mg/kg could potentially lead to overdose for the neonate. It is important to clarify this dosage with the health care provider before administering the medication to ensure the safety of the newborn.
Question 2 of 5
The nurse is monitoring a pregnant client with severe preeclampsia. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Headache and blurred vision are signs of worsening preeclampsia, indicating potential eclampsia.
Question 3 of 5
What is the primary nursing concern for a mother receiving magnesium sulfate therapy?
Correct Answer: B
Rationale: Monitoring reflexes detects early signs of magnesium toxicity.
Question 4 of 5
The nurse is caring for a client in labor with an epidural. What assessment is most important immediately after placement?
Correct Answer: C
Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension caused by epidural anesthesia.
Question 5 of 5
A patient who is older than 35 years may have difficulty achieving pregnancy because
Correct Answer: D
Rationale: As women age, their ovarian reserve decreases and the quality of their eggs declines, making it more difficult to conceive. This is due to the normal aging process of the ovaries, which can lead to decreased fertility and an increased risk of chromosomal abnormalities in the embryos. Therefore, a patient who is older than 35 years may have difficulty achieving pregnancy because the ovaries may be affected by the normal aging process.