ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nursery nurse delays the first bottle feeding of a newborn. Which is the most common reason for the nurse's actions? The infant has:
Correct Answer: B
Rationale: The correct answer is B: a respiratory rate above 60. The nurse delays feeding because a high respiratory rate may indicate respiratory distress, making feeding unsafe. Feeding can lead to aspiration in infants with respiratory issues. A blood glucose of 45 gm/dL (choice
A) is low but not typically a reason to delay feeding. Blue hands and feet (choice
C) may indicate poor circulation, but it's not a common reason to delay feeding. A heart murmur (choice
D) doesn't directly impact feeding safety.
Question 2 of 5
During active labor, after a sudden slowing of the fetal heart rate, the nurse assesses the woman's perineum and observes a prolapsed cord. Which nursing action is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Hold the presenting part away from the cord. This action helps relieve pressure on the cord, preventing further compromise of blood flow to the fetus. It is crucial to maintain fetal perfusion.
Choice B (Insert a scalp electrode) and D (Cover the cord with gauze) are not appropriate as they do not address the immediate risk of cord compression.
Choice C (Reverse Trendelenburg) may worsen the prolapse by shifting the presenting part higher.
Question 3 of 5
A client is in the latent stage of labor. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A because encouraging the client to walk in the hall can help progress labor by promoting movement and gravity, potentially aiding in cervical dilation and descent of the fetus. Walking may also provide comfort and distraction from labor discomfort.
Choices B and C are incorrect as they are not appropriate actions during the latent stage of labor and can be harmful.
Choice D is incorrect because it is not recommended to eat a meal during labor due to the risk of aspiration if anesthesia is needed.
Question 4 of 5
Which conditions create a risk for uterine atony in the immediate postpartum period?
Correct Answer: D
Rationale:
Step-by-step rationale for why choice D is correct:
1. Multiparity: Women who have had multiple pregnancies are at higher risk for uterine atony due to uterine muscle fatigue.
2. Multiple gestation: The presence of more than one fetus puts increased demands on the uterus, increasing the risk of uterine atony.
Summary of why other choices are incorrect:
- A: Breastfeeding and chromosome defects are not directly linked to uterine atony.
- B: Postterm birth and amniotomy do not inherently increase the risk of uterine atony.
- C: Gestational diabetes and pregnancy-induced hypertension are not specific risk factors for uterine atony.
Question 5 of 5
A client at ten weeks gestation tells the nurse that she has been having 'morning sickness.' The nurse advises the client to eat foods that are easy to digest and low in fat. Which is the rationale for the nurse's instruction?
Correct Answer: B
Rationale: The correct answer is B: A low-fat diet is digested faster and leaves less in the stomach that can be vomited. During pregnancy, hormonal changes can lead to morning sickness. Eating foods that are low in fat helps reduce the workload on the digestive system, allowing for quicker digestion. This means there is less food remaining in the stomach that could potentially trigger vomiting.
Therefore, advising the client to eat low-fat foods can help alleviate morning sickness symptoms.
A: Incorrect. While a low-fat diet may aid in digestion, it does not specifically increase peristalsis to reduce food volume in the stomach.
C: Incorrect. While easily digested foods can be beneficial, the primary focus in this scenario is on reducing fat intake for faster digestion.
D: Incorrect. The issue of cardiac sphincter relaxation and vomiting is not directly related to the advice given by the nurse.