ATI RN
ATI Maternal Newborn Proctored Questions
Question 1 of 5
A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. The statement "The medication could cause me to experience heart palpitations" indicates understanding because terbutaline, a beta-agonist used to stop preterm labor, can indeed cause heart palpitations as a common side effect due to its impact on the cardiovascular system. This shows the client has grasped a potential side effect of the medication. The other choices are incorrect: B: "This medication could cause me to experience blurred vision" - Blurred vision is not a common side effect of terbutaline. C: "This medication could cause me to experience ringing in my ears" - Ringing in the ears is not a common side effect of terbutaline. D: "This medication could cause me to experience frequent " - Incomplete statement, not indicating understanding of a specific side effect.
Question 2 of 5
A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?
Correct Answer: D
Rationale: The correct answer is D: Performing umbilical cord care. Gloves should be worn during this procedure to prevent the spread of infection. The umbilical cord stump is a potential entry point for bacteria, so gloves are necessary to maintain asepsis. A: Assisting a mother with breastfeeding does not require gloves as it is a clean procedure. B: Performing a newborn's initial bath does not require gloves unless there are open wounds on the newborn. C: Administering the measles, mumps, rubella vaccine may require gloves, but the primary concern is needlestick safety rather than infection control through glove use.
Question 3 of 5
A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure 148/94mm Hg. High blood pressure in a client with preeclampsia indicates worsening condition and potential for eclampsia. Magnesium sulfate is given to prevent seizures, so high blood pressure needs immediate provider attention. Incorrect Choices: B: Respiratory rate 14mm - This respiratory rate is within normal range. C: Urinary output 20 mL/hr - Low urinary output should be monitored but is not the priority in this situation. D: 2+deep tendon reflexes - Normal deep tendon reflexes are expected with magnesium sulfate therapy.
Question 4 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 5 of 5
In planning sex education classes for the middle school age group, more emphasis should be placed on
Correct Answer: D
Rationale: The correct answer is D because emphasizing the use of condoms is crucial for preventing both sexually transmitted diseases and pregnancy among middle school students who may engage in sexual activity. Condoms are the most effective method for dual protection at this age. Choice A focuses on setting limits but may not address the practical aspect of protection. Choice B is important but not as critical as ensuring proper protection. Choice C is not suitable for this age group due to legal and ethical considerations.