ATI RN
Maternal Newborn ATI Practice Questions Questions
Question 1 of 5
The nurse is caring for a client with gestational diabetes. What fetal complication should the nurse monitor for after birth?
Correct Answer: C
Rationale: In caring for a client with gestational diabetes, monitoring for fetal complications is crucial. The correct answer is C) Hypoglycemia. Infants born to mothers with gestational diabetes are at risk for hypoglycemia due to their exposure to higher glucose levels in utero. After birth, the infant's insulin production remains high, leading to a drop in blood glucose levels, hence the need for vigilant monitoring. Option A) Hyperglycemia is incorrect because infants are not at risk for high blood sugar levels after birth. Option B) Macrosomia, referring to a large birth weight, is a risk factor associated with gestational diabetes but does not directly relate to postnatal complications. Option D) Hyperbilirubinemia, or jaundice, is a common condition in newborns but is not specifically linked to gestational diabetes. Educationally, understanding the impact of maternal gestational diabetes on fetal health is essential for nursing practice. By grasping the increased risk of hypoglycemia in infants of diabetic mothers, nurses can provide timely interventions and support to ensure optimal outcomes for both the mother and the newborn.
Question 2 of 5
The nurse is caring for a client at 39 weeks' gestation in active labor. The fetal monitor shows late decelerations. What is the priority nursing action?
Correct Answer: A
Rationale: In this scenario, the priority nursing action is to reposition the client to her left side (Option A). Late decelerations on the fetal monitor indicate uteroplacental insufficiency, which can lead to fetal hypoxia. Repositioning the client to her left side helps improve placental perfusion by relieving pressure on the vena cava, enhancing blood flow to the placenta, and subsequently improving fetal oxygenation. Increasing the oxytocin infusion rate (Option B) would be contraindicated as it can further stress the fetus by increasing the frequency and intensity of contractions, potentially worsening the late decelerations. Encouraging the client to push harder (Option C) would not address the underlying cause of the late decelerations and could potentially lead to fetal distress. Notifying the healthcare provider immediately (Option D) is important but not the most immediate action in this situation. Repositioning the client is the priority to address the fetal well-being promptly. In an educational context, understanding fetal monitoring and the significance of different deceleration patterns is crucial for nurses caring for laboring women. It also highlights the importance of quick and appropriate interventions to optimize maternal and fetal outcomes during labor and delivery.
Question 3 of 5
A patient had unprotected sex yesterday. She is interested in emergency contraception. The nurse knows that the patient has how long to take the medication for it to be effective?
Correct Answer: C
Rationale: Emergency contraception is most effective if taken within 3 days after unprotected sex. The sooner it is taken, the more effective it is. Choice A and B are incorrect because they are too short a time window for emergency contraception to be effective. Choice D is also incorrect because most emergency contraceptive pills are not effective after 5 days.
Question 4 of 5
A patient has just had a Mirena IUD inserted. What is the most important information for the nurse to include in the post-procedure instructions?
Correct Answer: B
Rationale: The patient should be instructed to check the strings of the IUD regularly to ensure it remains in place. Choice A is not accurate because while cramping is common, rest is not necessarily required for several days. Choice C is not required; there is no need to avoid sexual activity unless there is an infection or other complication. Choice D is incorrect as Mirena typically reduces bleeding or makes periods lighter.
Question 5 of 5
A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?
Correct Answer: B
Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.