ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
Correct Answer: D
Rationale: The correct answer is D because it involves the patient in the decision-making process by asking for their readiness to make a decision after discussing the medication. This approach respects the patient's autonomy and encourages them to actively participate in their healthcare choices. A is incorrect as it does not involve the patient in the decision-making process but rather imposes the provider's choice. B is incorrect as it uses authority to influence the patient's decision, which is not in line with shared decision making. C is incorrect as it focuses on convenience rather than involving the patient in the decision-making process.
Question 2 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: D
Rationale: Correct Answer: D - Assist the client to turn onto her side. Rationale: 1. Side-lying position improves placental perfusion and circulation, optimizing blood pressure. 2. This position also helps in relieving pressure on major blood vessels, preventing hypotension. 3. It is a non-invasive intervention that can be quickly implemented in the labor setting. Summary of Other Choices: A: Preparing for a cesarean birth is not indicated based solely on the client's blood pressure reading. B: Assisting the client to an upright position may further decrease blood pressure and compromise perfusion. C: Immediate vaginal delivery is not warranted solely based on the client's blood pressure and cervical dilation.
Question 3 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "This medication promotes softening of the cervix." Dinoprostone gel is a prostaglandin used to ripen the cervix in preparation for labor induction. This explanation is crucial for the client to understand the purpose of the medication. Option B is incorrect because dinoprostone is not used to treat preeclampsia. Option C is incorrect as dinoprostone causes uterine contractions rather than relaxation. Option D is incorrect as dinoprostone is not used to treat genital herpes simplex virus.
Question 4 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: C
Rationale: Correct Answer: C - Have the client urinate. Rationale: 1. Displacement to the right of midline indicates a full bladder pushing the fundus. 2. A full bladder can prevent the fundus from contracting properly. 3. Having the client urinate will help the bladder empty, allowing the fundus to contract effectively and prevent complications like postpartum hemorrhage. Summary of Incorrect Choices: A: Massaging the fundus is not necessary as it is already firm. B: Inserting a urinary catheter is invasive and should be avoided unless necessary. D: Administering an analgesic is not indicated for fundus displacement; addressing the full bladder is the priority.
Question 5 of 5
A new mother asks the nurse why newborns receive an injection of vit. K after delivery. What will be the best response from the nurse?
Correct Answer: C
Rationale: The correct answer is C. Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes. Vitamin K is essential for blood clotting, and newborns have lower levels at birth. Without enough vitamin K, newborns are at risk of bleeding issues. Giving them a vitamin K injection helps prevent potential bleeding disorders. Choice A is incorrect because vitamin K is not given for digestion or fat absorption. Choice B is incorrect as erythromycin ointment is used for preventing eye infections, not related to vitamin K injections. Choice D is incorrect as vitamin K does not substitute for vitamin C, and it is not primarily for strengthening the immune system.