ATI RN
Maternal Newborn Proctored ATI Questions
Question 1 of 5
Two hours after an epidural infusion has begun the patient complains of itching of her face and neck. The nurse should:
Correct Answer: A
Rationale: Itching of the face and neck following an epidural infusion is a common side effect known as pruritus. The nurse should recognize this symptom and follow the protocol for addressing itching associated with epidural infusions. In this case, administering Benadryl is a common intervention to help relieve the itching. Benadryl is an antihistamine that can help alleviate itching and discomfort without the need to remove the epidural catheter. It is important for the nurse to assess the patient's symptoms, follow proper protocols, and provide appropriate interventions to manage side effects like pruritus.
Question 2 of 5
A client in the first stage of labor reports severe lower back pain. What intervention is most effective?
Correct Answer: B
Rationale: Frequent position changes, especially to hands-and-knees or leaning forward, can relieve back pain caused by fetal position.
Question 3 of 5
Which nursing action is most appropriate for a newborn experiencing apnea?
Correct Answer: B
Rationale: Administering oxygen and stimulating the newborn resolves apnea episodes.
Question 4 of 5
LGBTQIA+ families are at higher risk for certain issues more than straight, cisgender parents. What is an example of a vulnerability experienced by LGBTQIA+ families?
Correct Answer: A
Rationale: LGBTQIA+ families often face social exclusion and discrimination, increasing their vulnerability to mental and physical health challenges.
Question 5 of 5
Mother in late middle age who is certain she is not pregnant tells the nurse during an office visit she has urinary problems as well as sensation of bearing down and of something in the vagina. The nurse should realize that the client is most likely suffering from:
Correct Answer: B
Rationale: A cystocele/rectocele occurs when the supportive tissue between a woman's bladder and vaginal wall weakens, allowing the bladder to bulge into the vagina. This can lead to urinary problems such as difficulty emptying the bladder completely, frequent urination, and urinary incontinence. The fact that the mother is in late middle age and certain she is not pregnant, combined with her urinary problems, suggests that she may be experiencing symptoms of a cystocele/rectocele. It is important for the nurse to further assess the client's symptoms and provide appropriate education and treatment options.