ATI RN
ATI Maternal Newborn Proctored Questions
Question 1 of 5
The nurse is teaching a client about foods rich in folic acid during pregnancy. Which food should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A, citrus fruits. Folic acid is important for fetal development and helps prevent birth defects. Citrus fruits like oranges, grapefruits, and lemons are rich sources of folic acid. They provide the necessary nutrients for a healthy pregnancy. Lean meats (B) are good sources of protein but not specifically high in folic acid. Dairy products (C) are important for calcium but do not contain significant amounts of folic acid. Whole grains (D) are beneficial for fiber and nutrients, but they are not the best source of folic acid compared to citrus fruits.
Question 2 of 5
A client at 28 weeks' gestation with gestational diabetes is undergoing a nonstress test. What is a reassuring result?
Correct Answer: A
Rationale: The correct answer is A: Two accelerations in 20 minutes. Accelerations in fetal heart rate during a nonstress test indicate fetal well-being and adequate oxygenation. Two accelerations in 20 minutes are reassuring as they show a normal response to fetal movement and suggest a healthy fetal nervous system. Option B is incorrect because a fetal heart rate of 170 beats/minute may indicate fetal distress or tachycardia. Option C is incorrect as decreased fetal movement can be a sign of fetal compromise. Option D is incorrect as variable decelerations can indicate umbilical cord compression and require further evaluation.
Question 3 of 5
The nurse is teaching a client about postpartum care. Which statement indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because heavy bleeding for 4 weeks postpartum is abnormal and could indicate a complication. The client should seek medical attention if experiencing heavy bleeding beyond the normal range. Choices A, C, and D are all correct statements for postpartum care. A - avoiding heavy lifting helps prevent strain on healing tissues, C - fever could indicate infection, and D - continuing prenatal vitamins supports postpartum recovery.
Question 4 of 5
The nurse is educating a client about postpartum warning signs. Which symptom requires immediate medical attention?
Correct Answer: C
Rationale: The correct answer is C: Fever of 101°F and foul-smelling lochia. This combination indicates a possible infection like endometritis, which can be life-threatening if not promptly treated. Fever is a sign of systemic infection, and foul-smelling lochia suggests an infected uterus. Immediate medical attention is crucial to prevent complications. A: Increased lochia after breastfeeding is common and not necessarily alarming unless it is excessive or accompanied by other symptoms. B: Perineal discomfort on day 3 postpartum is expected due to the healing process and does not typically require immediate medical attention. D: Mild fatigue and trouble sleeping are common postpartum symptoms but do not indicate a medical emergency unless they are severe or persistent.
Question 5 of 5
A 23-year-old female patient is considering intrauterine device (IUD) contraception. What is the most important information to assess before placement?
Correct Answer: B
Rationale: The correct answer is B: Are you allergic to any metals? This is crucial because some IUDs contain metals like copper, which can trigger allergic reactions in individuals with metal allergies. It is important to assess for metal allergies to prevent potential adverse reactions. Incorrect Choices: A: Family history of heart disease is not directly relevant to IUD placement. C: Previous IUD insertions are important for clinical history but do not impact the initial assessment for a new insertion. D: History of hypertension is important for overall health assessment but does not directly affect IUD placement.