ATI RN
Maternal Newborn ATI Proctored Exam 2023 Questions
Question 1 of 5
A patient has just been admitted to labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The patient wants to have a mediation free birth. When discussing medication alternatives, the nurse should be sure the patient understands that:
Correct Answer: A
Rationale: The correct answer is A because maternal pain and stress can lead to increased levels of stress hormones, which can negatively affect the fetus. By providing a small amount of analgesia, the patient can experience relief from pain and stress without compromising the well-being of the fetus. Option B is incorrect because it disregards the potential benefits of providing some pain relief to the patient while still respecting her desire for a medication-free birth. Option C is incorrect because while medication may provide some rest and alleviate fatigue, the primary concern in this scenario is the impact on the fetus rather than the patient's comfort. Option D is incorrect because the main focus should be on ensuring the safety and well-being of both the mother and the fetus, rather than solely on the mother's enjoyment of the birth experience.
Question 2 of 5
While evaluating the reflexes of the newborn, the nurse notes that with a loud noise the newborn symmetrically abduct and extend his arms, his fingers fan out and forms a c with the thumb and forefinger. What does the nurse document?
Correct Answer: A
Rationale: The correct answer is A: Positive Moro reflex. The Moro reflex is elicited by a sudden loud noise or a jarring movement. The newborn symmetrically abducts and extends their arms, followed by fanning out their fingers and forming a "C" shape with the thumb and forefinger. This reflex is an involuntary response that indicates the normal development of the newborn's nervous system. The other choices are incorrect because: B: Positive Babinski reflex is elicited by stroking the sole of the foot, resulting in the toes fanning out and big toe dorsiflexing. C: Rooting reflex is elicited by touching the newborn's cheek, causing them to turn their head towards the stimulus and open their mouth to seek food. D: Tonic neck reflex is elicited by turning the newborn's head to one side, causing extension of the arm on that side and flexion of the opposite arm.
Question 3 of 5
Which herbs would you counsel a lactating client to use to stimulate blood flow to the breast glands, stimulate milk production, and enrich milk flow?
Correct Answer: B
Rationale: The correct answer is B: Cabbage juice. Cabbage juice contains phytoestrogens that help stimulate blood flow to the breast glands and promote milk production. It is used traditionally to increase milk supply in lactating women. Milk thistle (A) is more commonly used for liver health and not specifically for lactation. Lanolin (C) is a topical ointment for sore nipples, not for milk production. Aloe vera (D) is not recommended for internal use during lactation due to potential laxative effects. In summary, cabbage juice is the best choice as it directly supports milk production and flow in lactating clients.
Question 4 of 5
In a 28-day menstrual cycle, when does ovulation typically occur?
Correct Answer: B
Rationale: The correct answer is B: around day 14. Ovulation typically occurs around day 14 in a 28-day menstrual cycle. This is because ovulation usually happens around 14 days before the start of the next menstrual period. This timing aligns with the midpoint of the menstrual cycle, which is around day 14. Ovulation is the release of an egg from the ovary, marking the most fertile period for conception. Choices A, C, and D are incorrect because ovulation does not typically occur on day 7, day 21, or day 28 in a 28-day menstrual cycle.
Question 5 of 5
The nurse encourages the patient to begin taking folate prior to trying to conceive. Why would the nurse encourage folate intake?
Correct Answer: B
Rationale: The correct answer is B: Folate helps prevent neural tube defects. Folate is crucial for fetal development, particularly in preventing neural tube defects like spina bifida. It should be taken before conception to ensure adequate levels early in pregnancy. A: Taking folate does not directly increase the chances of conceiving. C: The nurse is not preparing the patient to take vitamins during pregnancy, but to prevent birth defects. D: Folate may reduce the risk of certain pregnancy complications but does not directly decrease miscarriage rates.