ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 5
A client with chronic kidney disease has arterial blood gas values being reviewed by a nurse. Which of the following sets of values should the nurse expect?
Correct Answer: A
Rationale: In chronic kidney disease, metabolic acidosis is common due to impaired kidney function leading to reduced bicarbonate excretion. The correct values indicating metabolic acidosis in this scenario are a low pH (acidosis), low bicarbonate (HCO3-) level, and low PaCO2 (compensation through respiratory alkalosis). Therefore, the expected values for a client with chronic kidney disease would be pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg, as depicted in choice A.
Question 2 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 3 of 5
The nurse is educating a patient on what constitutes IPV. What is an example of an act of IPV?
Correct Answer: B
Rationale: In the context of pharmacology education for the ATI Maternal Newborn Proctored Exam, understanding intimate partner violence (IPV) is crucial for nurses as they assess and support pregnant individuals and new mothers. The correct answer is B) stalking because stalking is a form of IPV characterized by repeated unwanted attention, harassment, or contact that instills fear in the victim. This behavior can escalate and pose serious risks to the victim's safety and well-being. Child endangerment (option A) involves putting a child at risk of harm, but it is not a direct example of IPV. Workplace harassment (option C) is a form of mistreatment in a professional setting and is not specific to intimate partner relationships. Legal allegations (option D) refer to accusations of wrongdoing that may involve legal processes but do not inherently constitute IPV. Educationally, understanding the nuances of IPV helps nurses identify signs of abuse, provide appropriate support and resources, and advocate for the safety of their patients. By recognizing stalking as a form of IPV, nurses can intervene early and help break the cycle of abuse for pregnant individuals and new mothers in potentially dangerous situations.
Question 4 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 5 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.