ATI Maternal Newborn Proctored Exam Latest Update -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Gravida 5, para 2. Gravida refers to the total number of pregnancies, including the current one. The client is currently pregnant (1), had two spontaneous abortions (2), a 4-year-old (3), and a set of 1-year-old twins (4-5). Para refers to the number of viable births (past the age of viability). The client has a 4-year-old and a set of 1-year-old twins, totaling 2 live births.
Therefore, the correct status is Gravida 5, para 2.


Choice A (Gravida 2, para 3) is incorrect because it does not account for the client's current pregnancy and the twins.
Choice B (Gravida 4, para 2) is incorrect as it overlooks the client's previous spontaneous abortions.
Choice D (Gravida 5, para 4) is incorrect as it includes all

Correct Answer: D

Rationale: The correct answer is D: Knowledge deficit related to the client's developmental stage and age. This nursing diagnosis is most important because the client's lack of understanding about how pregnancy occurs indicates a significant gap in knowledge. It is crucial to provide education on sexual health and reproduction to prevent future unplanned pregnancies and promote informed decision-making.


Choice A is incorrect as addressing altered nutrition is important but not the priority in this situation.
Choice B is incorrect as the client's age does not necessarily indicate a need for immediate intervention in family processes.
Choice C is incorrect as the primary issue is the client's lack of knowledge, not denial of pregnancy.

In summary, choice D is the most important nursing diagnosis as it directly addresses the root cause of the client's situation and has the potential to positively impact her future health and well-being.

Correct Answer: B

Rationale: The correct answer is B: Pregnancy-induced hypertension and postterm fetus. Labor induction is commonly indicated in cases of pregnancy-induced hypertension to prevent complications such as preeclampsia. Postterm fetus is another common indication to prevent risks associated with a prolonged pregnancy, such as stillbirth. Placenta previa, twins, breech position, prematurity, cephalopelvic disproportion, and fetal distress are not typically primary indications for labor induction. Placenta previa may require a cesarean section, twins may be delivered vaginally or by C-section, breech position may require external cephalic version or C-section, prematurity may necessitate medical management, cephalopelvic disproportion may require a C-section, and fetal distress may necessitate immediate delivery but not necessarily labor induction.

Correct Answer: B

Rationale: The correct answer is B:
To provide general loss of sensation by blocking sensory nerves to an area. Regional anesthetics work by blocking specific nerve pathways in a targeted area, leading to loss of sensation while maintaining consciousness. This is ideal for laboring clients as it allows pain relief without affecting consciousness or motor function.
Choice A is incorrect as regional anesthetics do not aim to decrease consciousness.
Choice C is incorrect as regional anesthetics block sensory nerves locally, not descending impulses.
Choice D is incorrect as the goal is to block sensation locally, not perception in the brain.

Correct Answer: D

Rationale: The correct answer is D: Required physical stimulation and supplemental oxygen. The Apgar score assesses a newborn's overall condition at birth based on five criteria: heart rate, respiratory effort, muscle tone, reflex irritability, and color. A score of 5 at one minute indicates the infant needed assistance, such as stimulation to breathe and oxygen support. The score of 7 at five minutes shows improvement but still requires some intervention.

Choices A, B, and C are incorrect because they suggest more aggressive interventions that are not indicated based on the Apgar scores provided, as the infant's condition was not critical enough to warrant those actions.