ATI RN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A newborn is suspected of having substance abuse instructions? exposure. Which of the following assessment findings
Correct Answer: D
Rationale: The correct answer is D: Seizures. Substance abuse exposure in a newborn can lead to withdrawal symptoms, including seizures. This is because the newborn's central nervous system may have been affected by the substances. Seizures are a serious medical emergency and require immediate attention. Explanation for why other choices are incorrect: A: Exercise and metabolism are not directly related to substance abuse exposure in a newborn. B: Increased weight gain is not a typical assessment finding for newborns with substance abuse exposure. C: Glucophage is a medication used to treat diabetes, and it does not relate to substance abuse exposure in a newborn.
Question 2 of 5
Nutrition is an integral part of the Bradley Method. What important nutrition advice is taught in this method?
Correct Answer: B
Rationale: The correct answer is B because the Bradley Method emphasizes the importance of increasing protein intake to support a healthy pregnancy. Protein is essential for fetal development and maternal health. It is recommended to consume around 100g of protein per day during pregnancy. Adequate protein intake helps in the growth of the baby and helps to maintain the health of the mother. Explanation of why the other choices are incorrect: A: Only eat low-fat foods - This is incorrect as fat is also important for a healthy pregnancy and should not be eliminated entirely. C: Do not eat dairy because it causes food allergies - Dairy is a good source of calcium and other essential nutrients during pregnancy, so this advice is not recommended. D: Eat a low-protein diet - This is incorrect as protein is crucial for the development of the baby and overall health during pregnancy.
Question 3 of 5
A nurse is completing a health history for a client who is at 6-week gestation. The client informs the nurse that she smokes one park of cigarettes per day. The nurse should advise the client that smoking places the client9s newborn at risk for what complication?
Correct Answer: B
Rationale: The correct answer is B: Intrauterine growth restriction (IUGR). Smoking during pregnancy can restrict blood flow to the fetus, leading to inadequate oxygen and nutrients, resulting in IUGR. This can lead to low birth weight and potential health complications for the newborn. Hearing loss (A) is not directly associated with smoking during pregnancy. Type 1 diabetes mellitus (C) is an autoimmune condition not caused by maternal smoking. Congenital heart defects (D) can be a risk with smoking during pregnancy, but the most direct risk is IUGR.
Question 4 of 5
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: C
Rationale: The correct answer is C: Two arteries and one vein. The umbilical cord typically contains two arteries (carrying deoxygenated blood from the fetus to the placenta) and one vein (carrying oxygenated blood from the placenta to the fetus). This is known as the "AVA" pattern. This configuration is essential for fetal circulation and oxygenation. Option A is incorrect as it has two veins and one artery, which is not the norm. Option B is also incorrect as it has one artery and one vein, missing one artery. Option D is incomplete, so it is also incorrect. Ultimately, the presence of two arteries and one vein in the umbilical cord is the correct and expected vascular arrangement for fetal circulation.
Question 5 of 5
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: B
Rationale: Correct Answer: B - Additional interventions are not indicated at this time. Rationale: 1. Fundus location: Three fingerbreadths below the umbilicus is within normal range for 3 days postpartum. 2. Lochia rubra: Moderate lochia rubra is expected at this stage postpartum. 3. Breasts: Hard and warm breasts are indicative of engorgement, a common issue in breastfeeding mothers. Summary: A: Early indications of mastitis would include redness, warmth, and tenderness in the breasts, along with flu-like symptoms. C: Application of a heating pad to the breasts can worsen engorgement and increase the risk of mastitis. D: Removing a nursing bra may offer some relief for engorgement, but it is not the priority intervention at this time.