ATI RN
ATI Maternal Newborn Proctored Questions
Question 1 of 5
A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client into the knee-chest position. This position helps relieve pressure on the umbilical cord, preventing compression and potential harm to the fetus. By positioning the client in knee-chest, gravity can aid in moving the fetus off the cord. Administering oxytocin (choice A) is not appropriate as the priority is to relieve pressure on the cord. Applying oxygen (choice B) does not address the immediate risk posed by the cord prolapse. Insertion of an intrauterine pressure catheter (choice C) is not indicated when the priority is to alleviate cord compression.
Question 2 of 5
A 28-year-old G1 P0 client tells the nurse that she medication cabergoline, which is effective in reducing has a craving for chalk. What is the nurse's best prolactin levels. What are possible side effects of this response to her?
Correct Answer: D
Rationale: Step 1: The nurse should engage the client to gather more information about the craving for chalk. This helps in understanding the underlying cause. Step 2: By asking the client to elaborate on the reason for the craving, the nurse can assess if it's related to a medical condition or nutritional deficiency. Step 3: Understanding the client's perspective can guide the nurse in providing appropriate support and interventions. Step 4: Referring the client to a therapist (option A) without first exploring the issue may not address the root cause effectively. Step 5: Hypotension (option B) and nasal congestion (option C) are not directly related to the issue of chalk craving, making them incorrect choices. In summary, option D is correct as it promotes client-centered care by exploring the client's concerns before considering further interventions.
Question 3 of 5
A client in her third trimester complains of Braxton
Correct Answer: D
Rationale: The correct answer is D: Rest until the contractions subside. During Braxton Hicks contractions, rest can help alleviate the discomfort. It allows the body to relax and reduces the intensity of the contractions. Other options are incorrect because: A: Reporting stools with milk curds to the infant's healthcare provider is unrelated to Braxton Hicks contractions. B: Stool color changes are irrelevant to managing Braxton Hicks contractions. C: Drinking water is important for overall health during pregnancy but does not directly address Braxton Hicks contractions.
Question 4 of 5
Which of the following conditions is concerning to The nurse recognizes which as a risk factor for placenta the infant nursery nurse? abruptio? Select all that apply.
Correct Answer: C
Rationale: Correct Answer: C - Hypertension Rationale: 1. Hypertension is a known risk factor for placental abruption. 2. Hypertension can lead to poor placental perfusion, increasing the risk of abruption. 3. Proper monitoring and management of hypertension are crucial to prevent adverse outcomes. Summary: A, B, D are unrelated to placental abruption and not risk factors. Hypertension is directly linked to placental abruption due to its impact on placental perfusion.
Question 5 of 5
Who created the Mongan Method?
Correct Answer: C
Rationale: The correct answer is C: hypnotherapist. The Mongan Method was created by Marie Mongan, who is a hypnotherapist. She developed this method as a childbirth education program that incorporates hypnosis techniques to help women have a more positive and empowering birthing experience. The other choices are incorrect because a physician, midwife, or organization did not create the Mongan Method. Marie Mongan's background in hypnotherapy is the key factor in why choice C is the correct answer.