ATI LPN
ATI Maternal Newborn Proctored Questions
Question 1 of 4
After an amniotomy, what is the priority nursing action?
Correct Answer: B
Rationale: The correct answer is B: Assess the fetal heart rate pattern. After an amniotomy (breaking of the water), the priority is to monitor the fetal well-being to ensure the baby is tolerating the procedure well. Assessing the fetal heart rate pattern helps the nurse determine if the baby is experiencing any distress or changes in oxygenation. This immediate assessment is crucial in identifying any potential complications and taking prompt action. Observing the color and consistency of fluid (A) is important but not as immediate as assessing the fetal heart rate. Assessing the client's temperature (C) and evaluating for chills and increased uterine tenderness (D) are important but do not address the immediate concern of fetal well-being post-amniotomy.
Question 2 of 4
A client is learning how to check basal temperature to determine ovulation. When should the client check her temperature?
Correct Answer: B
Rationale: The correct answer is B: Every morning before arising. This is because basal body temperature is the lowest body temperature attained during rest, typically just before waking up. Checking the temperature at this time provides the most accurate measurement of basal temperature. Options A, C, and D are incorrect because ovulation typically occurs around 14 days before the start of the next menstrual period, not on days 13 to 17 specifically (A), 1 hour following intercourse is not a reliable indicator of ovulation (C), and basal temperature should be checked in the morning, not before going to bed at night (D).
Question 3 of 4
A client is scheduled for a cesarean birth based on fetal lung maturity. Which finding indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: The correct answer is C: Lecithin/sphingomyelin (L/S) ratio of 2:1. This ratio indicates fetal lung maturity as it signifies adequate production of surfactant in the fetal lungs, essential for proper lung function after birth. Absence of Phosphatidylglycerol (PG) (Choice A) indicates immaturity, Biophysical profile score of 8 (Choice B) assesses overall fetal well-being, not lung maturity, and Reactive nonstress test (Choice D) evaluates fetal well-being, not lung maturity. The L/S ratio of 2:1 is the most reliable indicator of fetal lung maturity.
Question 4 of 4
A client is being educated by a healthcare provider about the changes she should expect when planning to become pregnant. Identify the correct sequence of maternal changes. A. Amenorrhea B.Lightening C. Goodell's sign D. Quickening
Correct Answer: D
Rationale: The correct sequence of maternal changes when planning to become pregnant is A) Amenorrhea, C) Goodell's sign, D) Quickening, and B) Lightening. Amenorrhea is the absence of menstruation, indicating possible pregnancy. Goodell's sign is the softening of the cervix and vagina. Quickening is the first fetal movements felt by the mother. Lightening occurs as the baby drops lower into the pelvis. This sequence reflects the chronological order of physiological changes during pregnancy. Choices A, B, and C do not follow the correct sequence of maternal changes as outlined in pregnancy progression.