ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
The nurse is performing a prenatal assessment. What finding is considered a positive sign of pregnancy?
Correct Answer: B
Rationale: The correct answer is B, auscultation of fetal heart tones, because it is a definitive sign of pregnancy indicating the presence of a fetus. This can be heard around 10-12 weeks of gestation using a Doppler device. It is a positive sign as it directly confirms the existence of a developing fetus. A: A positive pregnancy test is a probable sign and can indicate pregnancy but is not definitive. C: Hegar's sign is a probable sign characterized by softening of the lower uterine segment, not specific to pregnancy. D: Chadwick's sign is a probable sign of pregnancy indicated by bluish discoloration of the cervix, vagina, and labia, not a definitive sign of pregnancy.
Question 2 of 5
The nurse is teaching a client about morning sickness. What recommendation should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Consume dry crackers before getting out of bed. This recommendation helps alleviate morning sickness by providing a bland and easily digestible snack to settle the stomach before getting up. By consuming dry crackers, the client can avoid an empty stomach, which can contribute to nausea. Eating large meals three times a day (A) can worsen morning sickness due to heavy digestion, while drinking fluids with meals (B) may exacerbate nausea. Avoiding eating before bedtime (D) is generally recommended, but it does not specifically address morning sickness.
Question 3 of 5
A client at 12 weeks' gestation asks about the purpose of nuchal translucency testing. What is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because nuchal translucency testing is primarily used to screen for chromosomal abnormalities, such as Down syndrome, in the fetus. This test measures the thickness of the fluid-filled space at the back of the baby's neck. It is typically done between 11 and 14 weeks of pregnancy. This testing helps to assess the risk of genetic conditions in the fetus. Option A is incorrect because nuchal translucency testing does not screen for fetal anemia. Option B is incorrect because it does not detect neural tube defects. Option D is incorrect because it does not confirm gestational age.
Question 4 of 5
The nurse is preparing a client for cesarean delivery. What is the priority nursing action before surgery?
Correct Answer: D
Rationale: The correct answer is D, verifying signed informed consent. This is the priority because it ensures the client's understanding and agreement to the procedure, respecting their autonomy. Obtaining baseline vital signs (A) is important but not the priority before surgery. Inserting a urinary catheter (B) may be needed but is not the priority over informed consent. Administering antibiotics (C) is important for preventing infection but should not take precedence over confirming the client's informed consent.
Question 5 of 5
A client in the second stage of labor reports intense rectal pressure. What does this finding indicate?
Correct Answer: C
Rationale: Step 1: In the second stage of labor, the baby is descending into the birth canal for delivery. Step 2: Intense rectal pressure is a common sensation as the baby moves down. Step 3: This indicates progress in labor as the baby is descending. Step 4: Choice A is incorrect as breech position presents differently. Step 5: Choice B is incorrect as incomplete cervical dilation may not cause rectal pressure. Step 6: Choice D is incorrect as effective labor contractions are needed for descent.