ATI RN
ATI Maternity Exam 3 Questions
Extract:
A 17-year-old female client requesting oral contraceptives
Question 1 of 5
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking about specific concerns allows tailored reassurance and support. Relaxation alone, mandating an exam, or general reassurance don't address her nervousness effectively.
Extract:
Counseling a new mother about breast milk immunologic properties.
Question 2 of 5
An nurse is counseling a new mother about the immunologic properties of breast milk. The nurse emphasizes that breast milk is the main source of which specific immunoglobulin?
Correct Answer: C
Rationale: IgA in breast milk, especially colostrum, protects the infant's gut mucosa, unlike IgG, IgE, or IgM which have lesser roles.
Extract:
A client who is undergoing external fetal monitoring
Question 3 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Late decelerations suggest uteroplacental insufficiency; lateral positioning improves blood flow. Oxygen, leg elevation, and IV fluids are secondary.
Extract:
A pregnant woman with a pigmented vertical line between the umbilicus and pubis.
Question 4 of 5
Assessment of a pregnant woman reveals a pigmented vertical line between the umbilicus and the pubis. The nurse documents this finding as:
Correct Answer: B
Rationale: Linea nigra is the pigmented abdominal line caused by melanin in pregnancy, unlike vascular, facial, or stretch mark changes.
Extract:
A full-term infant with a slightly decreased temperature.
Question 5 of 5
The nurse's initial action when caring for an otherwise stable, full term infant with a slightly decreased temperature is to:
Correct Answer: A
Rationale: Skin-to-skin contact effectively warms a stable infant while promoting bonding, avoiding unnecessary interventions like blood tests or incubator use.