ATI RN
ATI Maternal Newborn Proctored Exam Questions
Question 1 of 5
What is the most appropriate action for a nurse when a newborn has jaundice on the second day of life?
Correct Answer: B
Rationale: In the context of pharmacology and neonatal care, the most appropriate action for a nurse when a newborn has jaundice on the second day of life is to initiate phototherapy (Option B). Jaundice in newborns occurs due to the accumulation of bilirubin, a yellow pigment produced during the breakdown of red blood cells. Phototherapy involves exposing the baby's skin to a special type of light that helps convert the bilirubin into a form that can be easily excreted by the body. Increasing fluid intake of the mother (Option A) is not the primary intervention for newborn jaundice. While adequate hydration is important for both the mother and baby, it will not directly address the elevated bilirubin levels in the newborn. Monitoring bilirubin levels (Option C) is essential in the management of jaundice, but in the case of significant jaundice on the second day of life, immediate intervention with phototherapy is crucial to prevent complications such as kernicterus. Referring to a pediatric specialist (Option D) may be necessary in complex cases or if the jaundice does not improve with phototherapy. However, the initial and urgent step in managing neonatal jaundice is phototherapy to prevent the potential neurotoxic effects of high bilirubin levels. In an educational context, understanding the pathophysiology of neonatal jaundice and the appropriate interventions is vital for nurses caring for newborns. Prompt recognition and management of jaundice can prevent serious complications and ensure optimal outcomes for the newborn.
Question 2 of 5
How should a nurse educate a mother about kangaroo care for her preterm infant?
Correct Answer: B
Rationale: In the context of pharmacology within the maternal newborn setting, educating a mother about kangaroo care for her preterm infant is crucial. The correct answer is B) Educate about skin-to-skin contact benefits. Kangaroo care involves placing the baby skin-to-skin on the mother's chest, providing numerous benefits such as regulating the baby's temperature, heart rate, and promoting bonding and breastfeeding. Option A) Encouraging frequent visits to the NICU may be important for overall involvement, but it does not specifically address the benefits of kangaroo care. Option C) Explaining the importance of bonding is relevant, but it does not provide specific guidance on how to implement kangaroo care. Option D) Teaching the mother about safe handling of the newborn is important, but it does not directly address the benefits of skin-to-skin contact through kangaroo care. In the ATI Maternal Newborn Proctored Exam, understanding the benefits of kangaroo care and how to educate mothers on this practice is essential for providing optimal care to preterm infants. By choosing the correct answer, nurses can empower mothers with the knowledge and skills needed to enhance the well-being of their newborns through skin-to-skin contact.
Question 3 of 5
A nurse is conducting a discharge teaching for a client going home after cesarean section. Which S&S should the client be taught to report?
Correct Answer: A
Rationale: After a cesarean section, the client should be taught to report symptoms of a urinary tract infection, such as frequency, urgency, and burning on urination. These symptoms can indicate an infection which needs prompt treatment to prevent complications. It is important for the client to report these symptoms to their healthcare provider for appropriate evaluation and management.
Question 4 of 5
A woman delivered a baby 9lbs 10oz 1 hour ago. When you arrive to perform a 15-minute assessment she tells you that she feels all wet underneath. You discover that both pads are completely saturated and that she’s lying in a 6-inch diameter of blood. What does nurse do first
Correct Answer: A
Rationale: In this scenario, the priority action for the nurse to take is to assess the source of the woman's feeling of wetness underneath her. This could indicate a significant amount of postpartum bleeding, also known as hemorrhage. It is crucial to determine if she is experiencing excessive bleeding as this can be life-threatening if not addressed promptly. By identifying the source of the wetness, the nurse can assess the situation and take appropriate actions to address any potential complications. Once the severity of bleeding is determined, further assessments and interventions can be initiated accordingly.
Question 5 of 5
The physician has determined the need for forceps. The nurse should explain to the patient that the need for forceps is indicated because
Correct Answer: A
Rationale: Forceps delivery is indicated in situations where there is fetal distress due to premature placental separation or nonreassuring fetal heart rate. Forceps are used to facilitate a quicker delivery and reduce the risk to the baby during such emergency situations. Forces are also used in cases of fetal distress due to a prolapsed cord where a quick delivery is necessary to relieve pressure on the umbilical cord.