ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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.
Question 2 of 5
Shortly after delivery, the nursery nurse gives the newborn an injection of phytonadione (Vitamin K). The infant's grandmother wants to know why the baby got 'a shot in his leg.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale:
Correct Answer: D - Vitamin K is used to prevent bleeding.
Rationale:
1. Newborns have low levels of Vitamin K, which is essential for blood clotting.
2. Injection helps prevent a rare but serious bleeding disorder called Vitamin K deficiency bleeding.
3. The injection is typically given in the thigh muscle for optimal absorption.
4. Other choices are incorrect as Vitamin K's main role in newborns is preventing bleeding, not promoting growth, aiding digestion, or stabilizing blood sugar.
Question 3 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed any bloody show or fluid coming from your vagina?" This question is important to assess for true labor because bloody show or fluid leakage can indicate ruptured membranes, which is a sign of true labor. This information helps differentiate between true labor and false labor. The other options are not directly related to distinguishing between true and false labor. Option A focuses on the timing of contractions, which is important but not specific to differentiating true from false labor. Option C inquires about the effect of movement on contractions, which is relevant but not as indicative as the presence of bloody show or fluid. Option D is about fetal movement, which is important for monitoring fetal well-being but does not help differentiate true labor from false labor.
Question 4 of 5
A nurse is reviewing discharge instructions with the parent of an infant who has acute laryngotracheobronchitis (croup).
Correct Answer: C
Rationale:
Correct Answer: C - "I will place a dehumidifier in my child's room."
Rationale:
1. Croup is a viral infection that affects the upper airway, causing swelling and narrowing of the air passages.
2. Increasing humidity can help relieve symptoms by reducing airway inflammation and making breathing easier.
3. The use of a dehumidifier can help maintain optimal humidity levels in the child's room, making it easier for the child to breathe.
4. This intervention can provide comfort and support the child's recovery process.
Summary:
A: Corticosteroids are prescribed by the doctor to reduce airway inflammation in croup. This is a valid treatment, but not the focus of the given question.
B: Clearing nasal passages with a bulb syringe may help with congestion but is not the most effective intervention for croup.
D: Encouraging fluids is important to prevent dehydration but is not directly related to managing croup symptoms.
E, F,
Question 5 of 5
A nurse is monitoring a child whose parents are suspected of child neglect. Which of the following is an expected finding of neglect?
Correct Answer: A
Rationale: The correct answer is A: Lack of required immunizations. Neglect refers to the failure to provide for a child's basic needs, including healthcare. Lack of immunizations puts the child at risk for preventable diseases, indicating neglect. Parental lack of education (
B) or being in a lower socioeconomic group (
C) do not directly indicate neglect. Faded clothing with large shoes (
D) may suggest financial difficulties but does not necessarily indicate neglect.