ATI RN
ATI Maternal Newborn Proctored Exam 2024 Questions
Question 1 of 5
What is the primary nursing concern for a mother receiving magnesium sulfate therapy?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Medication that are contraindicated for management of PPH include SATA (Cytotec, Hemabate, Pitocin, Methergine all for PPH)
Correct Answer: A
Rationale: Terbutaline is used for the management of preterm labor, not postpartum hemorrhage (PPH). The medication that are contraindicated for the management of PPH include Cytotec, Hemabate, Pitocin, and Methergine. Terbutaline is not typically used for PPH as it is mainly utilized to delay preterm labor contractions and prevent premature birth.
Question 3 of 5
Which order should the nurse implement first?
Correct Answer: A
Rationale: The correct order of implementation in this scenario should focus on addressing the immediate physiological needs of the patient. The vital signs indicating hypovolemia from dehydration require prompt action to stabilize the patient's condition. Giving 1L of LR IV will help reestablish vascular volume, improve blood pressure, and address the underlying issue of dehydration. By addressing the hypovolemia first, the nurse can effectively start the process of stabilizing the patient before moving on to other interventions such as weighing the client, administering Maalox orally, or encouraging liquid intake.
Question 4 of 5
4 minutes after the birth of the baby there is a sudden gush of blood from the mom's vagina and the about 8 inches of umbilical cord slides out. What action should nurse take first?
Correct Answer: A
Rationale: In this situation, the nurse should first watch for the emergence of the placenta. This is because the gush of blood followed by the umbilical cord slipping out indicates a possible placental abruption, where the placenta separates from the uterine wall before the baby is born. It is crucial to closely monitor the situation for signs of an incomplete placental delivery or any further complications. If the placenta does not deliver within a reasonable timeframe or if there are signs of excessive bleeding or other issues, immediate medical intervention may be necessary.
Question 5 of 5
The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by
Correct Answer: A
Rationale: Acute mastitis is inflammation of the breast tissue that may result from milk stasis, inadequate milk removal, or bacteria entering the breast tissue through cracks in the nipple. One of the key ways to prevent acute mastitis is by ensuring proper breastfeeding techniques. This includes ensuring a good latch to allow for effective milk removal, practicing frequent and complete emptying of the breasts, and alternating the position of the baby during feeding to ensure all parts of the breast are drained. Proper breastfeeding techniques help to prevent milk stasis and reduce the risk of developing mastitis.