ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, 'When will my child get the next dose of MMR vaccine?' Which is the correct response by the nurse?
Correct Answer: D
Rationale: A second MMR, often called a booster, will be needed when the child enters middle school at age eleven or twelve years of age. This ensures full immunity from the diseases covered by the MMR vaccine.
Question 2 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal distress. Late decelerations occur after the peak of the contraction, indicating that the fetus is not receiving enough oxygen. This is a serious concern as it can lead to fetal distress and potential harm to the baby. The nurse's action in notifying the physician is crucial to address the uteroplacental insufficiency and prevent further complications.
A: Nuchal cord is associated with variable decelerations, not late decelerations.
B: Variable decelerations are linked to cord compression, not late decelerations.
C: Late decelerations are indeed a result of hypoxia and are not related to the strength of maternal contractions, but the critical issue here is the underlying cause of hypoxia, which is uteroplacental insufficiency.
Question 3 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 4 of 5
A woman in the first trimester comes to the clinic with vaginal bleeding. The physician determines that the fetus has died and that the placenta, fetus, and tissues still remain in the uterus. How should the findings be documented?
Correct Answer: C
Rationale: The correct answer is C: Missed abortion. In a missed abortion, the fetus has died but the products of conception are retained in the uterus. This scenario matches the description given in the question where the physician finds the fetus has died but the tissues remain. A missed abortion typically presents with vaginal bleeding and the absence of fetal heart tones. Other choices are incorrect because: A: Complete abortion would indicate that all products of conception have been expelled. B: Stillborn abortion is not a recognized medical term. D: Incomplete abortion would involve partial expulsion of products of conception.
Question 5 of 5
A nurse is monitoring a 9-year-old child on the first postoperative day following abdominal surgery.
Correct Answer: B
Rationale: The correct answer is B: "FACES rating scale." This scale is commonly used to assess pain in children, including a 9-year-old. It uses facial expressions to help children express their pain levels. The nurse can ask the child to choose the face that best represents their pain. This scale is age-appropriate, easy to use, and effective in assessing pain in children who may have difficulty verbalizing their discomfort.
Other choices:
A: "Poker chip tool" - This tool involves assigning a numerical value to poker chips. It is not as commonly used or specific for pediatric pain assessment.
C: "Visual analog scale" - This scale requires the child to mark a point on a line to indicate pain intensity, which may be challenging for younger children.
D: "Numerical 1 to 10 rating scale" - While this scale is commonly used for pain assessment, it may be difficult for a 9-year-old to accurately quantify and verbalize their pain on a numerical