ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 16-year-old client reports to the school nurse because of nausea and vomiting. After exploring the signs and symptoms with the client, the nurse asks the girl whether she could be pregnant. The girl confirms that she is pregnant, but states that she does not know how it happened. Which nursing diagnosis is most important?
Correct Answer: D
Rationale: The correct answer is D: Knowledge deficit related to the client's developmental stage and age. This nursing diagnosis is most important because the 16-year-old client's lack of understanding about how pregnancy occurs indicates a significant gap in knowledge. It is crucial to provide education to help the client make informed decisions about her health and pregnancy.
Choice A (Altered nutrition) is not the most important because addressing the client's lack of knowledge takes precedence over nutritional concerns.
Choice B (Risk for altered family processes) is not the priority as the immediate focus should be on educating the client.
Choice C (Ineffective coping) may be a concern but addressing knowledge deficit is more critical.
In summary, the client's lack of understanding about pregnancy and her developmental stage make addressing the knowledge deficit the priority nursing diagnosis in this situation.
Question 2 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.
Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.
Question 3 of 5
A breastfeeding mother complains of cramping. Which is the main cause of the client's afterpains?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the uterus. After giving birth, the uterus contracts to return to its pre-pregnancy size. Breastfeeding releases oxytocin, which stimulates these contractions, causing cramping or afterpains. Infection of the suture line (
A) and trauma during delivery (
D) are not typically associated with cramping. Constipation and bloating (
B) may cause discomfort but are not the main cause of afterpains in a breastfeeding mother.
Question 4 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 5 of 5
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
Correct Answer: D
Rationale:
Correct Answer: D - "I can give him a tub bath in two days."
Rationale:
1. The correct answer is D because newborns who have undergone circumcision should avoid tub baths until the circumcision is fully healed to prevent infection.
2. A: Leaving the yellow exudate is correct as it is a normal part of the healing process.
3. B: Cleaning the penis with each diaper change is important to prevent infection.
4. C: Circumcision typically heals within a couple of weeks, so this statement is accurate.
5.
Choice D is incorrect because it suggests giving a tub bath too soon, which could lead to complications.