ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 5
A client with acute respiratory failure (ARF) may present with which of the following manifestations? (Select one that doesn't apply.)
Correct Answer: D
Rationale: In acute respiratory failure (ARF), the body is not getting enough oxygen, leading to respiratory distress. Symptoms of ARF typically include severe dyspnea (difficulty breathing), decreased level of consciousness due to hypoxia, and headache from inadequate oxygenation to the brain. Nausea is not a typical manifestation of ARF and would not be expected in this condition.
Question 2 of 5
A woman's temperature has just risen 0.4°F and will remain elevated during the remainder of her cycle. She expects to menstruate in about 2 weeks. Which of the following hormones is responsible for the change?
Correct Answer: D
Rationale: The hormone responsible for the increase in body temperature prior to menstruation is estrogen. Estrogen is the primary female sex hormone that plays a key role in regulating the menstrual cycle. Around the time of ovulation, estrogen levels peak, which can lead to a slight rise in body temperature. This increase in temperature is known as the "estrogenic temperature shift" and is a normal part of the menstrual cycle. The rise in body temperature indicates that ovulation has occurred and that a woman is approaching her fertile window. Estrogen also helps prepare the uterine lining for pregnancy and plays a role in many other reproductive functions.
Question 3 of 5
The nurse is monitoring a client with premature rupture of membranes at 37 weeks. Which prescription should the nurse question?
Correct Answer: C
Rationale: In the context of pharmacology and maternal newborn care, the correct option to question in this scenario is C) Perform a vaginal examination every shift. This is because performing frequent vaginal examinations in a client with premature rupture of membranes increases the risk of introducing infection, which can be harmful to both the mother and the baby. Monitoring fetal heart rate continuously (Option A) is important to assess fetal well-being, especially in the presence of premature rupture of membranes. This is a standard practice in obstetric care. Monitoring maternal vital signs frequently (Option B) is essential to detect any signs of infection or other complications in the mother. This is crucial for the overall assessment of the client's condition. Administering an antibiotic as prescribed (Option D) is a common intervention in cases of premature rupture of membranes to prevent infection. Antibiotics help reduce the risk of maternal and fetal complications associated with this condition. Educationally, understanding the rationale behind questioning the need for frequent vaginal examinations in a client with premature rupture of membranes is crucial for nursing students. It reinforces the importance of evidence-based practice and the principles of minimizing harm and promoting safety in maternal newborn care. Nurses need to critically think about interventions to ensure the best outcomes for both the mother and the baby.
Question 4 of 5
The nurse is monitoring a client in the second stage of labor. What finding indicates the client is ready to push?
Correct Answer: B
Rationale: In the second stage of labor, the cervix needs to be completely dilated to 10 centimeters to indicate that the client is ready to push. This is because full cervical dilation allows the baby to descend through the birth canal for delivery. Option B is correct because it signifies the physiological readiness for the pushing stage of labor. Option A, the rupture of membranes, is not a definitive sign that the client is ready to push as it can happen earlier in labor. Option C, back pain reported by the client, is a non-specific symptom and does not indicate the readiness to push. Option D, contractions being 10 minutes apart, is not indicative of the second stage of labor, as contractions should be closer together and more intense during this stage. Educationally, understanding the stages of labor and the associated physiological changes is crucial for nurses caring for laboring clients. Recognizing the signs of each stage helps in providing appropriate support and interventions to ensure a safe delivery for both the mother and the baby.
Question 5 of 5
The nurse is caring for a pregnant client with a diagnosis of gestational diabetes. What finding indicates the need for immediate intervention?
Correct Answer: C
Rationale: In the context of caring for a pregnant client with gestational diabetes, the finding that indicates the need for immediate intervention is the presence of ketones in the urine (Option C). Ketones in the urine suggest that the body is breaking down fats for energy due to inadequate insulin levels, which can lead to diabetic ketoacidosis, a serious condition that requires prompt medical attention to prevent maternal and fetal complications. Option A, a blood sugar of 130 mg/dL after a meal, is within the target range for postprandial glucose levels in gestational diabetes management. Option B, a fasting blood sugar of 95 mg/dL, although slightly low, is not a critical finding requiring immediate intervention. Option D, the client reporting increased thirst, is a symptom of hyperglycemia but does not indicate an urgent need for intervention compared to the presence of ketones, which signals a more severe metabolic imbalance. Educationally, understanding the significance of ketones in gestational diabetes is crucial for nurses to provide timely and appropriate care to pregnant clients. Recognizing the signs of diabetic ketoacidosis can help prevent maternal and fetal complications, emphasizing the importance of close monitoring and prompt intervention in the management of gestational diabetes.