ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.