ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Question 1 of 5
A client comes to the clinic to confirm that she is pregnant. Her last menstrual period was January 31st. According to Naegele's rule, when should the client expect to deliver?
Correct Answer: C
Rationale: The correct answer is C: November 7. Naegele's rule estimates the due date by adding 7 days to the first day of the last menstrual period (January 31), then subtracting 3 months, and adding 1 year. So, January 31 + 7 days = February 7. Subtracting 3 months gives November 7, and adding 1 year maintains the same year.
Therefore, the client should expect to deliver around November 7.
Choices A, B, and D are incorrect because they do not follow the correct calculation based on Naegele's rule. November only has 30 days, so November 31 in choice A is not a valid date. December 7 in choice B is also incorrect as it does not align with the correct calculation. December 24 in choice D is too far into December based on the calculation.
Question 2 of 5
A nurse is caring for a child with acute glomerulonephritis. The child has edema, hypertension, and gross hematuria. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Weigh the child daily and record intake and output. This intervention is crucial in monitoring fluid balance and kidney function in a child with acute glomerulonephritis. Daily weights help assess for fluid retention, while intake and output measurements help evaluate kidney function. Edema, hypertension, and gross hematuria are key symptoms of this condition, indicating the need for close monitoring.
Choice A is incorrect because monitoring oxygen saturation is not directly related to the management of acute glomerulonephritis.
Choice B is also incorrect as dietary restrictions regarding protein are not the priority in this situation.
Choice D is incorrect as counseling about follow-up is important but not the most immediate intervention needed.
Question 3 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D: eliminate organisms that might initiate acute renal failure or rheumatic fever. Strep throat is caused by Group A Streptococcus bacteria, which if left untreated, can lead to serious complications such as acute renal failure or rheumatic fever. Completing the entire course of antibiotics is crucial to completely eradicate the bacteria and prevent these complications.
A: Alleviate painful swallowing does not directly address the potential serious complications associated with untreated strep throat.
B: Preventing sinusitis or abscess formation is important but not directly related to the severe complications of acute renal failure or rheumatic fever.
C: Reducing the risk of anterior cervical lymphadenopathy is a symptom of strep throat but not as critical as preventing the life-threatening complications mentioned in the correct answer.
Question 4 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 fetal distress increases due to reduced placental function, leading to possible asphyxia during labor. Postterm infants are at increased risk of passing meconium in utero, which can be aspirated during delivery, causing meconium aspiration syndrome. Cephalopelvic disproportion (choice
A) is not directly related to postterm pregnancy. Intraventricular hemorrhage and dry, cracked skin (choice
C) are not common complications associated with postterm pregnancies. Hyperbilirubinemia and hypocalcemia (choice
D) are more related to prematurity than postterm pregnancies.
Question 5 of 5
A new mother receives instructions about care of her newborn son's circumcision. Which statement made by the mother indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Washing off yellowish mucous on the baby's penis is not necessary as it is a normal part of the healing process after circumcision. The presence of yellowish mucous indicates healing, and washing it off may disrupt the healing process.
Therefore, further teaching is needed to clarify this.
Choice A is correct as bleeding is a concern and should prompt a call to the doctor.
Choice C is incorrect as applying vaseline can help protect the circumcision site.
Choice D is correct as a sponge bath is recommended to keep the area clean.