ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 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 2 of 5
The nurse is assessing a client in the third trimester with suspected gestational diabetes. What symptom is most concerning?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and urination. In gestational diabetes, increased thirst and urination can indicate uncontrolled blood sugar levels, which can harm the fetus. This symptom suggests hyperglycemia and requires immediate intervention. B: Fasting blood glucose of 100 mg/dL is within the normal range for pregnancy and not concerning. C: Weight gain of 1 pound in a week can be normal in the third trimester and not specific to gestational diabetes. D: Proteinuria of +1 is more concerning for preeclampsia rather than gestational diabetes.
Question 3 of 5
A client at 20 weeks' gestation asks about fetal movements. What is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because quickening, described as fluttering movements, is typically felt by pregnant individuals around 18-20 weeks of gestation. This indicates fetal movement and is an important milestone in pregnancy. Choices A and D are incorrect as fetal movements can be felt as early as 18-20 weeks. Choice B is incorrect as feeling strong, regular movements is not expected until later in the pregnancy.
Question 4 of 5
The nurse is assessing a client with suspected preterm labor. Which finding confirms the diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation of 3 cm. This finding confirms preterm labor as it indicates cervical changes associated with labor progression. Regular uterine contractions every 10 minutes (choice A) may suggest labor but alone doesn't confirm preterm labor. Lower back pain and cramping (choice C) are common symptoms but not specific to preterm labor. A positive fetal fibronectin test (choice D) may indicate an increased risk of preterm labor but doesn't confirm the diagnosis definitively.
Question 5 of 5
A client at 10 weeks' gestation reports frequent nausea. What dietary recommendation should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Drink fluids between meals. This recommendation helps manage nausea during pregnancy by preventing dehydration, which can worsen symptoms. Consuming fluids between meals also helps maintain hydration and prevents an empty stomach, which can trigger nausea. A: Avoiding salty snacks is not directly related to managing nausea. C: Consuming three large meals a day may worsen nausea due to overeating. D: Avoiding protein-rich foods is not recommended as they are important for fetal development and overall nutrition during pregnancy.