ATI RN
ATI Maternal Newborn Proctored Exam 2024 Questions
Question 1 of 5
The nurse is caring for a client at 38 weeks' gestation reporting decreased fetal movement. What is the priority action?
Correct Answer: A
Rationale: A nonstress test is the first step to assess fetal well-being in cases of decreased fetal movement.
Question 2 of 5
The nurse is caring for a client at 38 weeks' gestation reporting decreased fetal movement. What is the priority action?
Correct Answer: A
Rationale: A nonstress test is the first step to assess fetal well-being in cases of decreased fetal movement.
Question 3 of 5
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 4 of 5
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.
Question 5 of 5
4 minutes after the birth of the baby there is a sudden gush of blood from the mom's vagina and the about 8 inches of umbilical cord slides out. What action should nurse take first?
Correct Answer: A
Rationale: In this situation, the nurse should first watch for the emergence of the placenta. This is because the gush of blood followed by the umbilical cord slipping out indicates a possible placental abruption, where the placenta separates from the uterine wall before the baby is born. It is crucial to closely monitor the situation for signs of an incomplete placental delivery or any further complications. If the placenta does not deliver within a reasonable timeframe or if there are signs of excessive bleeding or other issues, immediate medical intervention may be necessary.