ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 27-week gestation infant is taken to a newborn intensive care unit 150 miles away. Initially, which emotion should the nurse expect the mother to display after the transfer?
Correct Answer: C
Rationale: The correct answer is C: Guilt. The mother may feel guilty for not being able to carry the baby to full term and for needing to transfer the baby to a different hospital. This emotion is common in mothers of preterm infants. Denial (
A) may be present but guilt is more likely. Frustration (
B) and anger (
D) may arise, but guilt is the primary emotion expected initially.
Question 2 of 5
At 28 weeks gestation, a woman enters the hospital in preterm labor and receives atocolytic medication to stop labor. Which assessment findings should be reported immediately to the physician?
Correct Answer: D
Rationale: The correct answer is D: Ferning pattern of vaginal discharge under a microscope. This finding indicates rupture of membranes, which can lead to infection and endanger both the mother and the fetus. It is crucial to report this immediately to the physician for further assessment and management.
Choice A (Fetal heart rate averaging 160 beats/min) can be a normal finding in a preterm labor situation and does not indicate an urgent concern.
Choice B (Irregular contractions every 15-20 minutes that last 30 seconds before stopping) are not necessarily alarming as long as they are not progressing into active labor.
Choice C (Maternal vital signs within normal range) are also not immediate cause for concern.
Question 3 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 4 of 5
A 38 week gestation newborn weighs 4020 grams, is sluggish, and has limp muscle tone. The baby experienced a broken clavicle during delivery. Based on this information, which can the nurse conclude about the baby?
Correct Answer: B
Rationale: The correct answer is B: Large for gestational age. A newborn weighing 4020 grams at 38 weeks is above the 90th percentile, indicating macrosomia or being large for gestational age. The sluggishness and limp muscle tone can be attributed to the baby's size. A broken clavicle during delivery is common in larger babies due to difficulty in passing through the birth canal. Neonatal abstinence symptoms (
A) are related to drug withdrawal, not indicated here. Congenital cardiac defects (
C) typically do not present with these symptoms. Respiratory depression (
D) is more likely in preterm infants or those with perinatal asphyxia.
Question 5 of 5
A nurse is reinforcing teaching with the parent of an infant who has club feet with bilateral casts.
Correct Answer: A
Rationale: The correct answer is A: "Check the toes for any swelling or discoloration." This is correct because it is crucial to monitor for signs of complications such as impaired circulation in the toes due to the cast. Swelling or discoloration could indicate a problem that needs immediate attention.
Choice B is incorrect because monthly recasting is not the standard treatment for club feet with bilateral casts.
Choice C is incorrect because using a heated fan or dryer can cause burns or skin irritation to the infant's delicate skin under the cast.
Choice D is incorrect because giving Tylenol every 4 hours without consulting a healthcare provider may not be necessary or safe for the infant.
Overall, choice A is the most appropriate as it focuses on monitoring the infant's toes for any potential issues and taking appropriate action if needed.