ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 9
The APGAR is performed at what minutes?
Correct Answer: A
Rationale: The APGAR score is a quick assessment tool used to evaluate a newborn's health and overall condition immediately after birth and again at 5 minutes after birth. The five categories evaluated in the APGAR score are Appearance, Pulse, Grimace, Activity, and Respiration. The assessment is typically done at 1 minute and 5 minutes after birth to quickly determine if the baby needs any immediate medical attention or interventions. The scores at both time points provide valuable information about the baby's well-being and can guide healthcare providers in deciding on appropriate next steps for care.
Question 2 of 9
The nurse is monitoring a client with premature rupture of membranes at 37 weeks. Which prescription should the nurse question?
Correct Answer: C
Rationale: Vaginal exams are minimized to reduce the risk of infection in clients with premature rupture of membranes.
Question 3 of 9
The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth? Which suggestion by the nurse is most appropriate?
Correct Answer: A
Rationale: The most appropriate suggestion by the nurse is to break the suction by gently inserting a clean finger into the corner of the infant's mouth. This method will safely release the baby's latch without causing any discomfort or injury to the baby or the mother. It is important to break the suction before removing the breast to prevent any potential damage to the nipple and promote a smooth breastfeeding experience for both the mother and the baby. This technique is commonly recommended in breastfeeding education to ensure proper latch and prevent nipple trauma.
Question 4 of 9
The nurse is attempting to explain physiologic birth. What do they say?
Correct Answer: C
Rationale: Physiologic birth focuses on minimal intervention, supported by a calm environment and supportive care.
Question 5 of 9
The nurse is teaching a prenatal class about breast changes during pregnancy. Which change is expected?
Correct Answer: C
Rationale: Darkening of the areola is a common change due to hormonal influences during pregnancy.
Question 6 of 9
The nurse is assessing a client with ruptured membranes. What finding suggests chorioamnionitis?
Correct Answer: B
Rationale: Foul-smelling discharge is a key indicator of chorioamnionitis, an infection of the amniotic fluid.
Question 7 of 9
Which newborn reflex is assessed by stroking the cheek?
Correct Answer: B
Rationale: The rooting reflex is observed when stroking the cheek, helping the newborn find the breast for feeding.
Question 8 of 9
What is the most appropriate action for a nurse when a newborn has jaundice on the second day of life?
Correct Answer: B
Rationale: Phototherapy helps treat jaundice by breaking down bilirubin.
Question 9 of 9
Which of the following interpretations of this finding should the nurse make?
Correct Answer: A
Rationale: The finding of "station -1" indicates that the presenting part of the baby is 1 cm above the ischial spines in the mother's pelvis. Station is a measurement used in obstetrics to describe the position of the presenting part of the fetus in relation to the ischial spines of the mother's pelvis during labor. Stations are measured in centimeters and range from -5 (highest) to +5 (lowest). In this case, a station of -1 means the baby's presenting part is 1 cm above the ischial spines. This information helps healthcare providers assess the progress of labor and determine the positioning of the baby during delivery.