ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
The nurse is preparing a client for induction of labor. What is the purpose of administering oxytocin?
Correct Answer: A
Rationale: The correct answer is A: Stimulate uterine contractions. Oxytocin is administered to induce labor by increasing the frequency and strength of uterine contractions. This helps progress labor and facilitate delivery. Choice B is incorrect as pain relief is usually achieved through analgesics or anesthesia. Choice C is incorrect because cervical ripening is typically promoted with medications like prostaglandins. Choice D is also incorrect as oxytocin can actually cause a temporary increase in blood pressure.
Question 2 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 3 of 5
Which statement by the client would alert the nurse that she should not take oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C because smoking while taking oral contraceptives increases the risk of blood clots, stroke, and heart attack. Smoking and oral contraceptives together pose a higher risk than either alone. Choices A, B, and D are not direct contraindications for taking oral contraceptives. A: Moderate alcohol consumption is generally not contraindicated. B: Being slightly overweight and having difficulty with exercise are not absolute contraindications. D: Using condoms is a good practice but does not specifically indicate a reason not to take oral contraceptives.
Question 4 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 5 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.