ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which information is most important for the nurse to gather when a client is admitted to the unit in labor?
Correct Answer: B
Rationale: The correct answer is B: Medical problems or complications. This information is crucial for assessing potential risks during labor and ensuring appropriate care. Knowing the client's medical history helps the nurse anticipate and address any complications that may arise. Other choices like A, C, and D are important but not as critical as medical problems or complications. The support person's name (
A) is important for emotional support, fluid preferences (
C) can be addressed later, and weight gain during pregnancy (
D) is relevant but does not impact immediate care during labor.
Question 2 of 5
An hour after delivery, the nurse instills erythromycin (Ilotycin) ointment into the eyes of a newborn. The main objective of the treatment is to prevent infection caused by which organism?
Correct Answer: B
Rationale: The correct answer is B: Gonorrhea. Erythromycin ointment is used to prevent ophthalmia neonatorum, an eye infection in newborns caused by Neisseria gonorrhoeae, the bacteria responsible for gonorrhea. This infection can lead to blindness if left untreated. Rubella, Syphilis, and HIV are not prevented by erythromycin ointment. Rubella is a viral infection, syphilis is caused by Treponema pallidum bacteria, and HIV is a retrovirus.
Therefore, the main objective of the treatment is to prevent gonorrhea infection in the newborn's eyes.
Question 3 of 5
A client comes to the clinic to confirm that she is pregnant. Her last menstrual period was January 31st. According to Naegele's rule, when should the client expect to deliver?
Correct Answer: C
Rationale: The correct answer is C: November 7. Naegele's rule estimates the due date by adding 7 days to the first day of the last menstrual period (January 31), then subtracting 3 months, and adding 1 year. So, January 31 + 7 days = February 7. Subtracting 3 months gives November 7, and adding 1 year maintains the same year.
Therefore, the client should expect to deliver around November 7.
Choices A, B, and D are incorrect because they do not follow the correct calculation based on Naegele's rule. November only has 30 days, so November 31 in choice A is not a valid date. December 7 in choice B is also incorrect as it does not align with the correct calculation. December 24 in choice D is too far into December based on the calculation.
Question 4 of 5
A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D. The nurse should inform the client that the provider will insert an intrauterine pressure catheter to monitor the strength of contractions. This is important because lack of cervical change in active labor could indicate ineffective contractions, which can lead to prolonged labor or fetal distress. Monitoring the strength of contractions with an intrauterine pressure catheter will help the healthcare team assess the effectiveness of contractions and make informed decisions on the next steps of labor management.
Other choices are incorrect:
A: Pushing without effective contractions can lead to exhaustion and fetal distress.
B: Medication to ripen the cervix is not indicated in this situation.
C: IV pain medicine does not address the issue of ineffective contractions.
E, F, G: No additional information provided.
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. Late decelerations are associated with uteroplacental insufficiency, leading to fetal hypoxia. This occurs due to poor oxygen exchange at the placenta during contractions, resulting in a delayed recovery of the fetal heart rate after the contraction peaks. Repeated late decelerations indicate ongoing fetal distress and the need for immediate intervention to prevent further compromise.
Choices A and B are incorrect as they describe different types of decelerations.
Choice C is incorrect as late decelerations are indeed associated with hypoxia. However, they are related to uteroplacental insufficiency rather than the strength of maternal contractions.
Choice D provides the most accurate explanation of late decelerations and their significance in indicating fetal distress.