ATI RN
Maternal Newborn Proctored ATI Questions
Question 1 of 5
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Correct Answer: D
Rationale: Sternal retractions in a newborn may indicate respiratory distress or difficulty breathing. It is important for the nurse to intervene and assess the newborn's respiratory status further as this finding could be a sign of underlying respiratory issues that require immediate attention. The nurse should monitor the newborn's oxygen saturation, respiratory rate, and any other signs of distress to ensure appropriate intervention is provided promptly.
Question 2 of 5
A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?
Correct Answer: B
Rationale: Non-Hispanic White Americans have been reported to have the lowest incidence of gestational diabetes mellitus (GDM) compared to other ethnicities. Studies have shown that Asian, Hispanic, and African American populations have higher rates of developing GDM during pregnancy. This may be due to genetic predispositions, lifestyle factors, and varying degrees of insulin resistance among different ethnic groups. Therefore, when discussing risk factors for GDM, the community health nurse should identify Non-Hispanic White Americans as having the lowest incidence of GDM.
Question 3 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following.....
Correct Answer: B
Rationale: The client who gave birth 3 days ago and reports breath fullness is showing signs of potential postpartum complications, such as a pulmonary embolism. Pulmonary embolism is a serious condition that can occur postpartum due to blood clot formation. Symptoms like breath fullness, chest pain, and shortness of breath should never be ignored in postpartum clients. This client requires immediate assessment and intervention to prevent further complications. The other options are concerning but do not indicate as urgent of a situation as breath fullness, which could be a life-threatening issue.
Question 4 of 5
Which health concern is most likely to be an issue for the older mother?
Correct Answer: A
Rationale: As women age, their nutritional needs may change, and they may require more specific nutrients to support their health. Older mothers may be more susceptible to health concerns related to inadequate nutrition and diet planning, such as osteoporosis or heart disease. Proper nutrition is essential for both the mother's well-being and the health of her child. Therefore, nutrition and diet planning are more likely to be an issue for an older mother compared to exercise, rest, or contraceptive methods, especially during pregnancy and postpartum periods.
Question 5 of 5
A client, who is in the second trimester of pregnancy, gestation. The client is receiving magnesium sulfate tells the nurse that she has developed a reddish-pink intravenously for pre-eclampsia. Which assessment skin color on the palm of her hands. Which of the fol- requires immediate intervention?
Correct Answer: C
Rationale: Facial flushing in a pregnant client receiving magnesium sulfate for pre-eclampsia can be a sign of magnesium toxicity. Magnesium sulfate is a tocolytic agent used to prevent seizures in pre-eclamptic patients; however, excessive levels of magnesium can cause symptoms such as flushing, lethargy, blurred vision, slurred speech, and muscle weakness. In severe cases, magnesium toxicity can progress to respiratory depression, cardiac arrest, and death. Therefore, immediate intervention is required to prevent further complications. The other options do not present immediate concerning signs related to magnesium toxicity.