ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 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 2 of 5
A patient has had four vaginal deliveries. What barrier contraceptive method’s efficacy is affected by this history?
Correct Answer: C
Rationale: The correct answer is C: cervical cap. This barrier contraceptive method's efficacy is affected by the patient's history of four vaginal deliveries due to changes in the cervix and vaginal canal post-deliveries. The cervical cap relies on proper placement over the cervix to prevent sperm from entering the uterus. However, after multiple vaginal deliveries, the cervix may become less firm and may have altered shape or size, leading to reduced effectiveness of the cervical cap. A: Internal condom and B: external condom are not affected by the history of vaginal deliveries as they do not rely on cervical fit for efficacy. D: Contraceptive gel is not directly affected by the number of vaginal deliveries as it is applied externally and does not rely on cervical anatomy for effectiveness.
Question 3 of 5
A nurse is giving post-op teaching to a person after a surgical abortion. What education should be provided?
Correct Answer: A
Rationale: The correct answer is A because heavy bleeding post-surgical abortion can indicate a complication like hemorrhage, so prompt reporting is crucial. Choice B is incorrect as resuming vaginal intercourse too soon can increase the risk of infection. Choice C is incorrect because follow-up care is essential to monitor for complications. Choice D is incorrect as tampons should be avoided to reduce the risk of infection. In summary, choice A is correct as it prioritizes patient safety and early detection of complications.
Question 4 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale: The correct answer is D: 1 cup cooked broccoli. Broccoli is a good source of calcium, with approximately 70 mg per cup. This is higher than the other options provided. Avocado, banana, and potato are not significant sources of calcium compared to broccoli. Broccoli is a suitable choice for a pregnant vegan to ensure adequate calcium intake. It is important for the client to consume a variety of plant-based calcium-rich foods to meet their nutritional needs during pregnancy.
Question 5 of 5
A nurse is receiving laboratory results for a term newborn who is 24 hr. old. Which of the following results require intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because a glucose level of 20 mg/dL in a term newborn is significantly low and requires immediate intervention by the nurse. Low glucose levels can lead to hypoglycemia, which can be harmful to the newborn's brain development and overall health. A WBC count of 10,000/mm3 is within normal range for a newborn. Platelets of 180,000/mm3 and hemoglobin of 20g/dL are also within normal limits for a term newborn and do not require intervention.