ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale: The correct answer is D: 1 cup cooked broccoli. Broccoli is a good source of calcium, with approximately 70 mg per cup. This is higher than the other options provided. Avocado, banana, and potato are not significant sources of calcium compared to broccoli. Broccoli is a suitable choice for a pregnant vegan to ensure adequate calcium intake. It is important for the client to consume a variety of plant-based calcium-rich foods to meet their nutritional needs during pregnancy.
Question 2 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This test will determine adequacy of placental perfusion." The non-stress test is used to assess fetal well-being by monitoring fetal heart rate in response to fetal movement. It helps determine if the placenta is providing enough oxygen and nutrients to the fetus. This information is crucial in assessing the overall health and viability of the fetus. A: "This test will confirm fetal lung maturity" - This statement is incorrect because the non-stress test does not assess fetal lung maturity. That is usually done through tests like amniocentesis. C: "This test will detect fetal infection" - This statement is incorrect because the non-stress test does not detect fetal infection. Other tests like amniocentesis or blood tests are used for this purpose. D: "This test will predict maternal readiness for labor" - This statement is incorrect as the non-stress test focuses on fetal well-being and does not predict maternal readiness for labor.
Question 3 of 5
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because washing the penis once per day with soap and water is the appropriate way to care for an uncircumcised penis. This helps maintain good hygiene and prevents infections. Retracting the foreskin forcefully (Choice A) can cause injury and should not be done until the child is older. Using a cotton swab (Choice B) can leave fibers behind and may cause irritation. Applying petroleum jelly (Choice C) is unnecessary and can increase the risk of infections. Therefore, washing the penis with soap and water daily is the most effective and safe method for caring for an uncircumcised penis.
Question 4 of 5
A pregnant patient who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for
Correct Answer: B
Rationale: The correct answer is B: sexually transmitted diseases. Exchanging sex for drugs increases the risk of acquiring STDs due to engaging in unprotected sex with multiple partners. This behavior exposes the patient to infections such as HIV, syphilis, gonorrhea, and others. STDs can have serious consequences for both the pregnant patient and the fetus, including transmission of infections during childbirth or pregnancy complications. A: postmature birth is incorrect as it is not directly related to the behavior described. C: hypotension and vasodilation are potential effects of cocaine abuse, but not directly related to the increased risk of STDs in this scenario. D: depression of the central nervous system is a potential effect of cocaine abuse but is not the primary concern in this situation.
Question 5 of 5
Many teens wait until the second or even third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Continuing to deny the pregnancy. This is because some teens may struggle to come to terms with their pregnancy and deny it, leading to delays in seeking prenatal care. The other choices are incorrect. B: Uncertainty about where to go for care is not a common reason for delaying prenatal care as resources and information are usually available. C: Lack of realization that they are pregnant is unlikely as most teens eventually become aware of their pregnancy. D: A desire to gain control over their situation does not usually lead to delaying prenatal care as seeking care is a proactive step towards gaining control.