ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A newborn is suspected of having substance abuse instructions? exposure. Which of the following assessment findings
Correct Answer: D
Rationale: The correct answer is D: Seizures. Substance abuse exposure in a newborn can lead to withdrawal symptoms, including seizures. This is because the newborn's central nervous system may have been affected by the substances. Seizures are a serious medical emergency and require immediate attention. Explanation for why other choices are incorrect: A: Exercise and metabolism are not directly related to substance abuse exposure in a newborn. B: Increased weight gain is not a typical assessment finding for newborns with substance abuse exposure. C: Glucophage is a medication used to treat diabetes, and it does not relate to substance abuse exposure in a newborn.
Question 5 of 5
The nurse is discussing danger signs during preg- tion procedure. Which statement is appropriate for nancy with a pregnant woman in her first trimester. the nurse to make? Which of the following signs and symptoms would
Correct Answer: B
Rationale: The correct answer is B. Severe headache and visual changes are potential danger signs during the first trimester of pregnancy, indicating conditions like preeclampsia. This is crucial to monitor as it can lead to serious complications for both the mother and the baby. Choice A is incorrect because inserting a catheter through the cervix is not a relevant danger sign during the first trimester. Choice C, persistent vomiting and nausea, is commonly experienced in the first trimester as morning sickness and is not typically a sign of immediate danger. Choice D, freezing sperm or ovarian tissue, is unrelated to discussing danger signs during pregnancy and does not indicate any potential issues during the first trimester.