ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nurse conducting a physical assessment notes that a 1-day-old newborn with dark skin has a bluish-gray discoloration over the lower back, the buttocks, and the scrotum. How should this assessment finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Mongolian spots. This finding is common in newborns with dark skin and appears as bluish-gray discoloration in areas like the lower back, buttocks, and scrotum. Mongolian spots are benign and typically fade over time. Extensive bruising (
A) would present differently and usually indicates trauma. Nevus flammeus (
C) refers to a port-wine stain, which is a different type of birthmark. Acrocyanosis (
D) is a condition characterized by bluish discoloration of the extremities due to poor circulation, not related to the described finding.
Question 2 of 5
When planning for the care of an infant experiencing neonatal abstinence syndrome, which nursing assessment is most important?
Correct Answer: A
Rationale: The correct answer is A: The mother's ability to provide a safe environment. This is crucial because infants with neonatal abstinence syndrome require a stable and safe environment for optimal care and recovery. Assessing the mother's ability to provide this environment helps ensure the infant's safety and well-being.
Choice B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant.
Choice C is incorrect as the focus should be on the current situation and care of the infant rather than the mother obtaining treatment.
Choice D is incorrect as the severity of the infant's withdrawal, though important, is not the most critical assessment in planning care.
Question 3 of 5
A woman in active labor is admitted to the labor and delivery unit, accompanied by her partner. As labor progresses, the nurse notes he is not interacting with the woman and sits in the corner, looking out the window. How may the nurse understand the man's actions?
Correct Answer: B
Rationale: The correct answer is B because it recognizes that the man's actions may be influenced by his personality or cultural differences, rather than indicating a lack of concern. This choice acknowledges that individuals may react differently in stressful situations based on their upbringing, beliefs, or personal characteristics. This understanding is crucial for the nurse to provide appropriate support and address any potential misunderstandings.
Choice A suggests that the man's concern about the woman's health is compromising his ability to cope, which is not supported by the information provided.
Choice C assumes the man's withdrawal is due to embarrassment and discomfort, which may not be the case.
Choice D attributes the man's behavior to religious beliefs, which is not mentioned in the scenario. These choices do not align with the evidence presented and do not consider the complexity of human behavior in different contexts.
Question 4 of 5
A client is admitted to the hospital with severe pregnancy-induced hypertension (PIH). The physician orders magnesium sulfate. Which nursing intervention is important when administering this drug?
Correct Answer: A
Rationale: The correct answer is A because magnesium sulfate is a central nervous system depressant used to prevent seizures in PIH. It can cause respiratory depression and hypotension. Assessing blood pressure and respiratory rate every fifteen minutes is crucial to monitor for signs of magnesium toxicity and ensure the client's safety. Monitoring blood glucose levels (
B) is not directly related to magnesium sulfate administration. Evaluating for orthostatic hypotension (
C) and observing for premature labor (
D) are not specific to the administration of magnesium sulfate in treating PIH.
Question 5 of 5
A 27-week gestation infant is taken to a newborn intensive care unit 150 miles away. Initially, which emotion should the nurse expect the mother to display after the transfer?
Correct Answer: C
Rationale: The correct answer is C: Guilt. The mother may feel responsible for the premature birth and subsequent transfer, leading to feelings of guilt. This is a common emotional response in such situations. Denial (
A), frustration (
B), and anger (
D) may also be present, but guilt is the most likely initial emotion due to the perceived connection between the mother and the baby's health.