ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?
Correct Answer: B
Rationale: The correct answer is B because seeing the healthcare provider every 2 weeks may not be frequent enough for monitoring a pregnant patient with a heroin habit. Regular monitoring is crucial for the well-being of both the mother and the baby. Option A shows a proactive approach for daily treatment, Option C is incorrect as methadone does not eliminate the risk of withdrawal in newborns, and Option D is incorrect as methadone does not reduce the risk of infection. Regular and close monitoring is essential in such cases to ensure the safety and health of both the mother and the baby.
Question 2 of 5
As the infant nursery nurse, you are assisting with a
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Determine dilation of the cervix): 1. It is crucial to monitor the progress of labor by assessing cervical dilation. 2. Cervical dilation indicates the stage of labor and helps determine when the mother is ready to push. 3. This information guides the healthcare team in providing appropriate care and support during delivery. 4. Assessing fetal station or rupture of membranes is important but determining cervical dilation is the priority. Summary: - Option A is incorrect because assessing fetal station is not the immediate next step. - Option B is incorrect as assessing for rupture of membranes is important but not the next immediate action. - Option D is incorrect as giving the infant a bath is not a priority in the labor and delivery process.
Question 3 of 5
What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
Correct Answer: D
Rationale: The correct answer is D because it involves the patient in the decision-making process by asking for their readiness to make a decision after discussing the medication. This approach respects the patient's autonomy and encourages them to actively participate in their healthcare choices. A is incorrect as it does not involve the patient in the decision-making process but rather imposes the provider's choice. B is incorrect as it uses authority to influence the patient's decision, which is not in line with shared decision making. C is incorrect as it focuses on convenience rather than involving the patient in the decision-making process.
Question 4 of 5
16wks gestation reports for a triple screen test. What statements determines understanding?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. A triple screen test includes assessing alpha-fetoprotein, hCG, and estriol levels. 2. These values help determine the risk for neural tube defects and chromosomal trisomies. 3. The test does not directly diagnose spina bifida but assesses neural tube defects. 4. Down syndrome risk is also evaluated, not diagnosed directly. 5. Answer D provides a comprehensive explanation of the test components and its purpose, aligning with the test's actual function. Summary of why other choices are incorrect: A. Incorrect because the test screens for neural tube defects and chromosomal trisomies, not just spina bifida. B. Incorrect because the test is a screening tool for specific conditions, not a definitive diagnostic test. C. Incorrect because the test assesses multiple conditions, not just Down syndrome specifically.
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: D
Rationale: Correct Answer: D - Assist the client to turn onto her side. Rationale: 1. Side-lying position improves placental perfusion and circulation, optimizing blood pressure. 2. This position also helps in relieving pressure on major blood vessels, preventing hypotension. 3. It is a non-invasive intervention that can be quickly implemented in the labor setting. Summary of Other Choices: A: Preparing for a cesarean birth is not indicated based solely on the client's blood pressure reading. B: Assisting the client to an upright position may further decrease blood pressure and compromise perfusion. C: Immediate vaginal delivery is not warranted solely based on the client's blood pressure and cervical dilation.