ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
The nurse is educating a prenatal client about weight dysphoric disorder. Which statement by the client gain during pregnancy. Which statement by the would require immediate follow-up? client indicates effective understanding?
Correct Answer: C
Rationale: Correct Answer: C. "I am experiencing suicidal thoughts." Rationale: This statement indicates a serious mental health concern that requires immediate follow-up. Suicidal thoughts during pregnancy can be a sign of depression or other mental health issues that need to be addressed promptly to ensure the safety and well-being of the client and the baby. Summary of Other Choices: A: "I have been crying the week of my period." - This statement suggests premenstrual symptoms which are common and not necessarily alarming during pregnancy. B: "I should gain 2 to 4 pounds in the first trimester and half a pound per week in the last two trimesters." - This statement reflects a correct understanding of weight gain recommendations during pregnancy and does not raise immediate concerns. D: "My menstrual cycle is 1 week late." - This statement is not concerning during pregnancy as menstrual cycles typically stop during pregnancy.
Question 2 of 5
What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
Correct Answer: D
Rationale: The correct answer is D because it involves the patient in the decision-making process by asking for their readiness to make a decision after discussing the medication. This approach respects the patient's autonomy and encourages them to actively participate in their healthcare choices. A is incorrect as it does not involve the patient in the decision-making process but rather imposes the provider's choice. B is incorrect as it uses authority to influence the patient's decision, which is not in line with shared decision making. C is incorrect as it focuses on convenience rather than involving the patient in the decision-making process.
Question 3 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 4 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 5 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.