ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 5
The nurse is teaching a client about signs of postpartum hemorrhage. What statement indicates understanding?
Correct Answer: B
Rationale: In the context of pharmacology in maternal newborn care, understanding the signs of postpartum hemorrhage is crucial for ensuring the well-being of both the mother and the newborn. The correct answer, option B ("Soaking one pad in an hour is concerning"), indicates understanding because it highlights a key indicator of postpartum hemorrhage, which is excessive bleeding. This statement reflects the importance of monitoring bleeding patterns closely after childbirth to promptly recognize and address any potential complications. Option A ("Passing a few clots is normal") is incorrect because while passing small clots can be normal in the immediate postpartum period, soaking a pad in an hour is a more significant and concerning amount of bleeding. Option C ("Heavy bleeding stops within 48 hours") is incorrect as it provides a misleading timeframe for the cessation of bleeding after childbirth. Postpartum bleeding can persist for several weeks, with the heaviest bleeding typically occurring within the first few days. Option D ("I should ignore mild cramping") is also incorrect as mild cramping can be a sign of uterine contractions, which are essential for postpartum recovery. However, if accompanied by soaking a pad in an hour, it could indicate a more serious issue like postpartum hemorrhage. Educationally, understanding the signs of postpartum hemorrhage is essential for nurses providing care to postpartum women. By recognizing these signs early, nurses can intervene promptly, potentially preventing serious complications associated with excessive postpartum bleeding. It underscores the importance of patient education and close monitoring in the postpartum period to ensure optimal outcomes for both the mother and the newborn.
Question 2 of 5
The nurse is teaching a client about signs of preterm labor. Which symptom should be reported immediately?
Correct Answer: B
Rationale: In this scenario, option B, "Lower back pain and cramping," should be reported immediately as a sign of preterm labor. Lower back pain and cramping can indicate cervical changes or contractions that may lead to preterm labor, posing a risk to both the mother and the baby. This symptom warrants prompt medical evaluation to assess for preterm labor and take necessary interventions to prevent premature birth. The other options are not as concerning as option B. Increased fetal movements (option A) are generally considered a positive sign of fetal well-being. Mild swelling of the feet (option C) is common in pregnancy but is not typically indicative of preterm labor. Occasional Braxton Hicks contractions (option D) are normal, irregular, and painless contractions that occur throughout pregnancy, especially in the third trimester, and they are not a cause for immediate concern unless they become regular, intense, or are accompanied by other signs of preterm labor. In an educational context, it is crucial for nurses and expectant mothers to be aware of the signs and symptoms of preterm labor to ensure timely intervention and improve outcomes for both the mother and the baby. Teaching expectant mothers to recognize these signs empowers them to seek timely medical assistance when necessary, promoting maternal and neonatal well-being.
Question 3 of 5
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select one that does not apply.
Correct Answer: B
Rationale: In the context of pharmacology and maternal newborn care, it is crucial for nurses to educate patients about potential side effects of medications, including oral combination contraceptives. The correct answer, B) Thick vaginal discharge, is not a common side effect of oral contraceptives. A) Irregular bleeding is a common side effect of oral contraceptives, especially during the first few months of use as the body adjusts to the hormones. C) Nausea is another common side effect, which usually subsides after a few weeks. D) Breast tenderness can also occur as a side effect of hormonal contraceptives due to hormonal changes in the body. Educationally, it is important for nurses to understand the side effects of medications to provide comprehensive patient education. By knowing the side effects, nurses can effectively counsel patients on what to expect and when to seek medical advice. This helps promote patient adherence to the prescribed treatment plan and ensures patient safety and well-being.
Question 4 of 5
A 35-year-old patient comes to the clinic 2 days after a tubal ligation. She complains of abdominal pain and swelling and redness at the surgical incision. What does the nurse know is a common complication of this procedure?
Correct Answer: D
Rationale: Infection is a common complication after tubal ligation, indicated by redness and swelling at the surgical site. Choice A is incorrect as ileus is a bowel obstruction, not typically a complication of tubal ligation. Choice B, liver enlargement, is unrelated to tubal ligation. Choice C, constipation, may be a side effect but is not a primary concern after this procedure.
Question 5 of 5
A patient calls and says she used her diaphragm on Saturday night at 8:00 p.m., again on Sunday morning at 2:00 a.m., and again at 8:00 a.m. She is wondering when she can safely remove it while still having effective contraception. What is the nurse’s best response?
Correct Answer: D
Rationale: In general, a diaphragm should be left in place for at least 6 hours after intercourse but no more than 24 hours. Based on the patient's usage times on Saturday night at 8:00 p.m., Sunday morning at 2:00 a.m., and Sunday morning at 8:00 a.m., she can safely remove the diaphragm on Monday morning at 8:00 a.m. This ensures she has used it for the necessary timeframe for effective contraception.