ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is important because well-ventilated shoes help prevent fungal infections like athlete's foot by keeping the feet dry and reducing moisture buildup.
Choice A is incorrect as avoiding showering at the gym does not address the root cause of the issue.
Choice B is incorrect as applying antifungal cream daily is a reactive measure rather than a preventive one.
Choice C is incorrect as the color of socks does not impact fungal infections.
Question 2 of 5
A client at 33 weeks gestation is admitted for suspected abruptio placenta. Which factor in the client's history supports this diagnosis? The client states that she:
Correct Answer: D
Rationale: The correct answer is D: used crack an hour before the symptoms began. Abruptio placenta is a serious condition where the placenta separates from the uterine wall before the baby is born. Crack cocaine is a known risk factor for abruptio placenta due to its vasoconstrictive effects, which can lead to reduced blood flow to the placenta and potentially cause it to separate. The other choices do not directly relate to abruptio placenta.
Choice A may be concerning for fetal alcohol syndrome, but it does not support abruptio placenta.
Choice B describes Braxton Hicks contractions, which are normal in pregnancy.
Choice C is a common occurrence and not typically associated with abruptio placenta.
Therefore, choice D is the most relevant factor supporting the diagnosis of abruptio placenta in this scenario.
Question 3 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn at 12 hours after birth can indicate hyperbilirubinemia, which if left untreated, can lead to kernicterus and neurological damage. The nurse should report this to the provider for further evaluation and management. Acrocyanosis (choice
A) is a common finding in newborns and resolves on its own. Transient strabismus (choice
B) is also common and typically resolves within a few months. Caput succedaneum (choice
D) is swelling on the newborn's head due to pressure during delivery and is considered a normal finding.
Question 4 of 5
A client is in the latent stage of labor. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to walk in the hall until membranes rupture. In the latent stage of labor, it is essential to promote physical activity to help facilitate the progression of labor. Walking can help gravity assist in the descent of the fetus. It also helps in the dilation and effacement of the cervix. Additionally, walking can help distract the client from the discomfort of contractions. Encouraging walking until the membranes rupture can help maintain the client's energy levels and promote a more efficient labor process.
Choice B is incorrect as it describes the Valsalva maneuver, which is not appropriate during labor.
Choice C refers to a breathing technique that is not specifically indicated for the latent stage of labor.
Choice D is not recommended as eating a light meal during labor may lead to nausea or vomiting.
Question 5 of 5
A 17-year-old client delivered her first baby 8 hours ago. Which of the following is an indication that appropriate bonding is occurring? The client:
Correct Answer: A
Rationale: The correct answer is A because making eye contact with the baby is a fundamental aspect of bonding. Eye contact promotes attachment, emotional connection, and communication between the mother and baby. This visual interaction fosters feelings of love, protection, and bonding. In contrast, choices B, C, and D do not directly demonstrate bonding.
Choice B indicates confusion or lack of understanding about the baby's needs.
Choice C involves practical caregiving, not necessarily bonding.
Choice D focuses on the baby's physical appearance rather than emotional connection. Overall, making eye contact is a key indicator of the emotional bond forming between the mother and her baby.