ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Remain in a side-lying position for 15 minutes after the medication is inserted. This instruction is important because misoprostol can cause uterine contractions leading to potential discomfort or cramping. By remaining in a side-lying position, the client can help the medication remain in the desired location near the cervix, enhancing its effectiveness. This position also helps reduce the risk of the medication leaking out prematurely and ensures optimal absorption.
Choice A is incorrect because oxytocin is not typically administered shortly after misoprostol due to the potential for excessive uterine stimulation.
Choice B is incorrect as a full bladder is not necessary for the insertion of misoprostol.
Choice D is incorrect as an antacid is not typically required prior to the insertion of misoprostol.
Question 2 of 5
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 in pregnancy can lead to complications such as fetal hydrops. An ultrasound can monitor fetal well-being and detect any abnormalities. Administering antiviral medication (
A) is not typically recommended for parvovirus B19. Administering the Haemophilus influenza type b vaccine (
C) is unrelated to this condition. Performing an indirect Coombs' test (
D) is used to detect maternal antibodies in Rh incompatibility, not related to parvovirus B19.
Question 3 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn skin to skin on the mother's chest. This technique, known as kangaroo care, helps minimize pain during procedures by providing comfort, warmth, and security to the newborn. The close physical contact with the mother can reduce stress and promote relaxation, leading to decreased perception of pain. Additionally, the release of oxytocin during skin-to-skin contact can further alleviate discomfort for the newborn.
Applying a cool pack (choice
A) may actually increase pain and vasoconstriction, making the heel stick more uncomfortable. Requesting an IM analgesic (choice
B) is unnecessary and may expose the newborn to unnecessary medications. Using a manual lancet blade (choice
C) can be painful and may not provide the same comfort and pain relief as skin-to-skin contact.
Question 4 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D. Lochia normally lasts for about 21 days, and changes from bright red to pinkish-brown to creamy white. This is accurate because the process of lochia flow typically follows this pattern as the uterus sheds its lining post-delivery. Lochia rubra occurs in the first few days due to blood, then transitions to serosa and alba as the bleeding decreases.
Choice A is incorrect as it presents the correct information but in a confusing manner.
Choices B and C are incorrect because they focus on abnormal findings rather than the normal progression of lochia.
Question 5 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D because late decelerations are associated with uteroplacental insufficiency, indicating fetal hypoxia. During contractions, the placenta may not be receiving enough oxygen and nutrients, leading to decreased oxygen supply to the fetus, resulting in late decelerations. Repeated late decelerations indicate ongoing fetal distress and the need for immediate intervention to prevent further complications.
Choices A, B, and C are incorrect because they do not accurately reflect the characteristics and causes of late decelerations. A nuchal cord is associated with variable decelerations, not late decelerations. Variable decelerations are due to cord compression, not late decelerations. Late decelerations are indeed a result of hypoxia, but they are specifically related to uteroplacental insufficiency, not reflective of the strength of maternal contractions.