ATI RN
ATI Maternal Newborn Proctored Exam 2024 Questions
Question 1 of 9
A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?
Correct Answer: B
Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.
Question 2 of 9
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
Correct Answer: D
Rationale: The order that the nurse should question is "Ampicillin 200mg./kg IV every 6 hours." The usual dosage for ampicillin is 200-300 mg/kg/day divided into 4-6 doses, not every 6 hours. Administering ampicillin every 6 hours at 200mg/kg could potentially lead to overdose for the neonate. It is important to clarify this dosage with the health care provider before administering the medication to ensure the safety of the newborn.
Question 3 of 9
In the male reproductive system, what internal struc- standing of transmission? ture secretes fluid into the semen and is responsible
Correct Answer: C
Rationale: The seminal vesicles are responsible for secreting fluid into the semen during ejaculation. This fluid helps nourish and protect the sperm as they travel through the female reproductive system. The prostate gland, on the other hand, is responsible for producing components of semen that help with sperm motility and viability. The seminal vesicles play a crucial role in the male reproductive system by contributing to the overall composition of semen.
Question 4 of 9
A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?
Correct Answer: B
Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.
Question 5 of 9
What population is disproportionately affected by human trafficking, particularly for sexual exploitation?
Correct Answer: C
Rationale:
Question 6 of 9
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The priority action for a nurse to take when observing a slowing of the fetal heart rate after the start of a contraction, with the lowest rate occurring after the peak of the contraction, is to place the client in the lateral position. This position, specifically the left lateral position, can alleviate pressure on the vena cava, improve blood flow to the placenta, and help optimize fetal oxygenation. By changing the client's position, the nurse can potentially relieve the decelerations seen in the fetal heart rate and promote better oxygenation for the fetus. This intervention is effective and can be quickly implemented in a labor and delivery setting to support fetal well-being.
Question 7 of 9
A pregnant client asks about the purpose of an ultrasound at 20 weeks' gestation. What is the best response?
Correct Answer: C
Rationale: The 20-week ultrasound is primarily for assessing fetal anatomy, growth, and development.
Question 8 of 9
The nurse is caring for a client in labor with an epidural. What assessment is most important immediately after placement?
Correct Answer: C
Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension caused by epidural anesthesia.
Question 9 of 9
A client at 28 weeks' gestation reports regular uterine contractions. What is the nurse's priority intervention?
Correct Answer: C
Rationale: Assessing fetal heart rate and contraction patterns is critical to evaluate the risk of preterm labor.