ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A woman at 42 weeks gestation enters the hospital for induction of labor. Since the infant is postterm, which complications should the nurse anticipate when planning for the delivery?
Correct Answer: B
Rationale: The correct answer is B: Asphyxia and meconium aspiration. At 42 weeks gestation, the risk of perinatal asphyxia increases due to decreased placental function. Meconium aspiration can occur if the fetus passes stool in utero, leading to respiratory distress. The other choices are not directly related to postterm pregnancy complications. Cephalopelvic disproportion and hypothermia (
Choice
A) are not specific to postterm pregnancy. Intraventricular hemorrhage and dry, cracked skin (
Choice
C) are not commonly associated with postterm pregnancies. Hyperbilirubinemia and hypocalcemia (
Choice
D) are more likely to occur after birth and are not directly related to being postterm.
Question 2 of 5
Which method of temperature regulation would safely and effectively prevent cold stress in a newly delivered infant?
Correct Answer: C
Rationale: The correct answer is C: Cover the baby's head with a hat. Infants lose a significant amount of heat through their heads, so covering the head with a hat helps prevent heat loss and cold stress. Option A does not provide enough insulation to prevent cold stress. Option B only addresses the feet, while the head is a major heat loss area. Option D poses a risk of overheating and burns.
Question 3 of 5
The nurse performs Leopold's maneuvers for a client admitted in labor. Which is the main goal of Leopold's maneuvers?
Correct Answer: D
Rationale: The correct answer is D:
To determine the presentation and position of the fetus. Leopold's maneuvers involve a series of palpations to assess the fetal lie, presentation, position, and engagement. By performing these maneuvers, the nurse can determine the position of the fetus in relation to the mother's pelvis and whether the baby is in a vertex or breech presentation. This information is crucial in planning for a safe delivery and identifying any potential complications.
Other choices are incorrect because:
A: Leopold's maneuvers do not directly assess cervical dilation.
B: Contractions are typically monitored separately using a tocodynamometer.
C: Checking for ruptured membranes is done through a separate assessment.
In summary, Leopold's maneuvers primarily focus on assessing the presentation and position of the fetus to guide the delivery process effectively.
Question 4 of 5
Immediately after birth, the nurse places the newborn under a radiant warmer. Which is the primary rationale for the nurse's action?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate an efficient means of thermoregulation. Placing the newborn under a radiant warmer helps prevent hypothermia by maintaining the baby's body temperature. Newborns have difficulty regulating their own body temperature initially, so the radiant warmer provides a controlled environment to keep them warm.
Choice B is incorrect because the primary reason is not for assessment but for thermoregulation.
Choice C is incorrect as a cardiac monitor is not typically needed immediately after birth.
Choice D is incorrect as the primary focus is on the newborn's well-being, not family observation.
Question 5 of 5
A client, gravida 1, para 0, in active labor, is becoming increasingly anxious. Which statement by the nurse will block therapeutic communication with the client?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale:
1.
Choice A and B encourage the client to express their concerns and feelings, promoting therapeutic communication.
2.
Choice D acknowledges the client's emotions, showing empathy and understanding.
3.
Choice C dismisses the client's anxiety, invalidating their feelings, hindering communication.
Summary:
Choices A, B, and D promote open communication and empathy, while choice C ignores the client's anxiety, making it the incorrect choice.