ATI RN
ATI Maternal Newborn Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "This medication promotes softening of the cervix." Dinoprostone gel is a prostaglandin used to ripen the cervix in preparation for labor induction. This explanation is crucial for the client to understand the purpose of the medication. Option B is incorrect because dinoprostone is not used to treat preeclampsia. Option C is incorrect as dinoprostone causes uterine contractions rather than relaxation. Option D is incorrect as dinoprostone is not used to treat genital herpes simplex virus.
Question 5 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: C
Rationale: Correct Answer: C - Have the client urinate. Rationale: 1. Displacement to the right of midline indicates a full bladder pushing the fundus. 2. A full bladder can prevent the fundus from contracting properly. 3. Having the client urinate will help the bladder empty, allowing the fundus to contract effectively and prevent complications like postpartum hemorrhage. Summary of Incorrect Choices: A: Massaging the fundus is not necessary as it is already firm. B: Inserting a urinary catheter is invasive and should be avoided unless necessary. D: Administering an analgesic is not indicated for fundus displacement; addressing the full bladder is the priority.