Maternal Newborn ATI Practice Questions

Maternal Newborn ATI Practice Questions Related

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A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?

  • A. “I need to take my temperature before I even sit up in bed.”
  • B. “A rise of 0.4° F above my baseline temperatures for 3 days indicates it is safe to have condomless sex.”
  • C. “I need to use a special thermometer to take my basal body temperature.”
  • D. “I know I am about to ovulate when my temperature rises at least 0.4° F.”
Correct Answer: B

Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.

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The nurse is caring for a client with severe preeclampsia. What is the priority nursing action?

  • A. Administer antihypertensive medication.
  • B. Assess for signs of impending eclampsia.
  • C. Monitor urine protein levels.
  • D. Encourage ambulation.
Correct Answer: B

Rationale: Assessing for signs of impending eclampsia, such as severe headache or visual changes, is critical to prevent seizures.

A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min. Which of the following actions should the nurse take first

  • A. Assess client's blood pressure.
  • B. Assess the bladder for distention.
  • C. Massage the client's fundus.
  • D. Prepare to administer a prescribed oxytocic preparation.
Correct Answer: B

Rationale: The first action the nurse should take in this situation is to assess the bladder for distention. Postpartum hemorrhage can be caused by a distended bladder putting pressure on the uterus, preventing it from contracting effectively and leading to excessive bleeding. By assessing for bladder distention and ensuring the client empties her bladder, the nurse can help the uterus contract more efficiently and potentially reduce the bleeding. Assessing the other options such as blood pressure, massaging the fundus, and preparing to administer an oxytocic can be important interventions eventually, but addressing the bladder distention is the first priority in this case of excessive postpartum bleeding.

The nurse is assessing a client at 10 weeks' gestation. Which finding is expected?

  • A. Quickening.
  • B. Fetal heart tones by Doppler.
  • C. Fundus at the level of the umbilicus.
  • D. Presence of Braxton Hicks contractions.
Correct Answer: B

Rationale: Fetal heart tones can typically be detected by Doppler around 10 weeks' gestation.

The nurse is teaching a prenatal class about kick counts. When should the client contact the healthcare provider?

  • A. Fewer than 10 movements in 2 hours.
  • B. Fewer than 5 movements in 1 hour.
  • C. No movements after a meal.
  • D. No movements for 6 hours.
Correct Answer: A

Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.

A patient had unprotected sex yesterday. She is interested in emergency contraception. The nurse knows that the patient has how long to take the medication for it to be effective?

  • A. 24 hr
  • B. 48 hr
  • C. 3 days
  • D. 5 days
Correct Answer: C

Rationale: Emergency contraception is most effective if taken within 3 days after unprotected sex. The sooner it is taken, the more effective it is. Choice A and B are incorrect because they are too short a time window for emergency contraception to be effective. Choice D is also incorrect because most emergency contraceptive pills are not effective after 5 days.

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