ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
The nurse is assessing a client with suspected preterm labor. Which finding confirms the diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation of 3 cm. This finding confirms preterm labor as it indicates cervical changes associated with labor progression. Regular uterine contractions every 10 minutes (choice A) may suggest labor but alone doesn't confirm preterm labor. Lower back pain and cramping (choice C) are common symptoms but not specific to preterm labor. A positive fetal fibronectin test (choice D) may indicate an increased risk of preterm labor but doesn't confirm the diagnosis definitively.
Question 2 of 5
The nurse is preparing a client for induction of labor. What is the purpose of administering oxytocin?
Correct Answer: A
Rationale: The correct answer is A: Stimulate uterine contractions. Oxytocin is administered to induce labor by increasing the frequency and strength of uterine contractions. This helps progress labor and facilitate delivery. Choice B is incorrect as pain relief is usually achieved through analgesics or anesthesia. Choice C is incorrect because cervical ripening is typically promoted with medications like prostaglandins. Choice D is also incorrect as oxytocin can actually cause a temporary increase in blood pressure.
Question 3 of 5
A client at 20 weeks' gestation reports leg cramps. What recommendation should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Stretch the legs before bed. Leg cramps during pregnancy are common due to increased weight and pressure on blood vessels. Stretching before bed helps prevent cramps by improving circulation and muscle relaxation. Increasing potassium intake (choice A) can help with muscle function but is not the primary intervention for leg cramps. Drinking fluids during meals (choice C) is important for hydration but does not directly address leg cramps. Reducing physical activity (choice D) may worsen circulation and muscle cramps.
Question 4 of 5
The nurse is educating an adolescent patient about Depo-Provera. Which statement should be included in this teaching session?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Choice C is correct because it accurately informs the adolescent about the potential side effects of Depo-Provera, which include irregular bleeding patterns such as heavy bleeding or spotting, or even the absence of periods. 2. This information is crucial for the patient's understanding and preparedness while using the medication. 3. Choices A, B, and D are incorrect because: - Choice A is inaccurate as Depo-Provera injections are typically required every 3 months, not 5 months. - Choice B is irrelevant to Depo-Provera as weight changes are not a common side effect of this medication. - Choice D is false as pregnancy history does not determine eligibility for Depo-Provera use.
Question 5 of 5
Which statement by the client would alert the nurse that she should not take oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C because smoking while taking oral contraceptives increases the risk of blood clots, stroke, and heart attack. Smoking and oral contraceptives together pose a higher risk than either alone. Choices A, B, and D are not direct contraindications for taking oral contraceptives. A: Moderate alcohol consumption is generally not contraindicated. B: Being slightly overweight and having difficulty with exercise are not absolute contraindications. D: Using condoms is a good practice but does not specifically indicate a reason not to take oral contraceptives.