ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
What is a common preconception risk factor that can impact pregnancy outcomes?
Correct Answer: D
Rationale: The correct answer is D, lack of immunizations. Immunizations protect pregnant individuals from serious infections that can harm both the mother and the baby. Infections like influenza and pertussis can lead to complications such as preterm birth, low birth weight, and even fetal death. Ensuring that pregnant individuals are up to date on their immunizations helps safeguard their health and the health of their unborn child. Choice A, lack of exercise, may impact pregnancy outcomes, but it is not as significant as the risk posed by lack of immunizations in terms of preventing serious complications. Chronic caffeine intake (Choice B) and high-fat diet (Choice C) can also have negative effects on pregnancy outcomes, but they are not as directly linked to potential harm for the mother and baby as the lack of immunizations.
Question 2 of 5
The nurse understands that many patients who experience violence become homeless to escape their situation. How can the nurse help these patients?
Correct Answer: C
Rationale: The correct answer is C: Refer the patient to a shelter. This option is the most appropriate because it addresses the immediate need for a safe place to stay for patients experiencing violence and homelessness. Referring the patient to a shelter provides them with temporary housing, safety, and access to resources and support services. Options A and B are not suitable as they overlook the safety concerns of the patient and may put them at risk of further harm. Option D, referring the patient to the police, may not address the patient's need for shelter and support services. Therefore, option C is the most effective and compassionate way to help patients in this situation.
Question 3 of 5
A client is to receive Pergonal (menotropins) injections for infertility prior to in-vitro fertilization. Which of the following is the expected action of this medication?
Correct Answer: A
Rationale: The correct answer is A: Stimulation of ovulation. Pergonal contains menotropins, which are hormones that stimulate the ovaries to produce eggs. During in-vitro fertilization, the goal is to retrieve multiple eggs for fertilization, making ovulation stimulation crucial. Explanation for incorrect choices: B: Prolongation of the luteal phase - Pergonal does not affect the luteal phase, which occurs after ovulation. C: Promotion of cervical mucus production - Pergonal does not directly influence cervical mucus production. D: Suppression of menstruation - Pergonal does not suppress menstruation but rather induces ovulation.
Question 4 of 5
The nurse is assessing a client in labor and notes persistent late decelerations on the monitor. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Reposition the client to her left side. This is the priority action because late decelerations indicate uteroplacental insufficiency, possibly due to compression of the umbilical cord. Repositioning the client to her left side can help improve blood flow to the placenta by reducing pressure on the vena cava, thus optimizing fetal oxygenation. Administering oxygen (B) is important but not the immediate priority. Increasing IV fluids (C) may not directly address the cause of late decelerations. Notifying the healthcare provider (D) is important but should come after immediate interventions.
Question 5 of 5
A client at 34 weeks' gestation reports decreased fetal movements. What should the nurse advise first?
Correct Answer: A
Rationale: The correct answer is A: Drink a glass of juice and lie down. This advice is based on the concept that consuming juice can stimulate fetal movements due to the increase in blood sugar levels. Lying down also helps the client focus on feeling the movements. This initial step is non-invasive and can potentially address the decreased fetal movements promptly. Choices B and D delay action, which can be dangerous if there is a significant issue with the baby. Choice C might lead to unnecessary waiting and potential risks if the fetus is in distress.