ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A newborn was transferred to the nursery 30 min after delivery. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because verifying the newborn's identification ensures the right baby is in the nursery. It is crucial for patient safety and prevents mix-ups. Confirming identification (choice A) is important but comes after verification. Administering vitamin K (choice C) is a necessary procedure but not the first priority. Determining obstetrical risk factors (choice D) is important but not as immediate as verifying identification. Thus, verifying the newborn's identification should be done first to prevent errors and ensure proper care.
Question 2 of 5
A healthcare professional in a provider's office is reviewing the medical record of a client who is in her first trimester of pregnancy. Which of the following findings should the healthcare professional identify as a risk factor for the development of preeclampsia?
Correct Answer: D
Rationale: The correct answer is D: Pregestational diabetes mellitus. Preeclampsia is a condition characterized by high blood pressure and protein in the urine during pregnancy. Pregestational diabetes is a known risk factor for developing preeclampsia due to the underlying vascular and inflammatory changes associated with diabetes. In contrast, choices A, B, and C are not typically considered risk factors for preeclampsia. A singleton pregnancy (choice A) is a normal occurrence and not a risk factor for preeclampsia. A BMI of 20 (choice B) falls within the healthy weight range and is not a known risk factor for preeclampsia. Maternal age of 32 years (choice C) is also not considered a significant risk factor for preeclampsia in the absence of other factors.
Question 3 of 5
A client who received carboprost for postpartum hemorrhage is being assessed by a nurse. Which of the following findings is an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Carboprost is a prostaglandin used to treat postpartum hemorrhage that can cause hypertension as an adverse effect due to its vasoconstrictive properties. This can lead to increased blood pressure, which should be monitored closely. Hypothermia (choice B) is not a common adverse effect of carboprost. Constipation (choice C) and muscle weakness (choice D) are also not typically associated with carboprost use. Monitoring blood pressure and signs of hypertension is crucial due to the potential adverse effects of carboprost.
Question 4 of 5
While caring for a newborn undergoing phototherapy to treat hyperbilirubinemia, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Correct Answer: A - Cover the newborn's eyes with an opaque eye mask while under the phototherapy light. Rationale: 1. Phototherapy light can cause eye damage, so covering the newborn's eyes with an opaque eye mask protects them. 2. Newborns' eyes are more sensitive to light, making eye protection crucial during phototherapy. Summary of Incorrect Choices: B: Keeping the newborn in a shirt won't protect the eyes from phototherapy light. C: Applying lotion can interfere with the effectiveness of phototherapy and may cause skin irritation. D: Turning and repositioning the newborn is important for comfort, but eye protection is the priority during phototherapy.
Question 5 of 5
A client is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Transition. Transition phase occurs when the cervix is dilated from 8 to 10 cm. This phase is characterized by intense contractions close together, increased rectal pressure, and emotional changes. The client in this scenario has contractions 2 to 3 minutes apart, lasting 80 to 90 seconds, and the cervix is dilated to 9 cm. This aligns with the characteristics of the transition phase. Summary: A: Active phase occurs when the cervix is dilated from 4 to 7 cm. C: Latent phase occurs when the cervix is dilated from 0 to 3 cm. D: Descent phase is not a recognized phase of labor.