ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
Correct Answer: A
Rationale: The correct answer is A. Weak, ineffective suck and scalp edema may indicate a possible complication of the forceps delivery. Weak suck suggests potential nerve damage from the forceps, affecting the infant's ability to suck effectively. Scalp edema is a common complication due to the pressure exerted by the forceps during delivery, potentially leading to swelling and bruising. Molding of the head and jitteriness (
B) are common after vaginal delivery and not specific to forceps delivery. Shrill, high-pitched cry and tachypnea (
C) may indicate respiratory distress but are not directly related to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (
D) could be normal findings or related to other factors not specific to forceps delivery.
Question 2 of 5
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney.
Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
Question 3 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.
Question 4 of 5
The parents of a 5-month-old infant state that their infant seems to eat very little. Most of the food comes out of the infant's mouth and onto his clothes.
Correct Answer: D
Rationale: The correct answer is D because at 5 months, infants are typically ready to start solids but may still have the tongue-thrust reflex. Placing food in the back of the baby's mouth using a long-handled spoon helps bypass this reflex and encourages swallowing. This method allows for better control of the food placement in the mouth, reducing the likelihood of the food being pushed out.
Choice A is incorrect as giving a bottle of formula before solid food may not address the issue of the baby spitting out food.
Choice B is incorrect as stopping solids until 12 months may delay important developmental milestones.
Choice C is incorrect as putting cereal in a bottle can pose a choking hazard and does not address the underlying issue.
Question 5 of 5
Immediately after birth, the nurse places the newborn under a radiant warmer. Which is the primary rationale for the nurse's action?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate an efficient means of thermoregulation. Placing the newborn under a radiant warmer helps prevent hypothermia by providing a controlled environment to maintain the baby's body temperature. This is crucial as newborns are at risk for heat loss due to their immature thermoregulatory systems.
Choice B is incorrect as initial assessment can be done without the need for a radiant warmer.
Choice C is incorrect as a cardiac monitor is not typically needed immediately after birth unless there are specific indications.
Choice D is incorrect as the primary focus should be on the newborn's well-being rather than family observation at this point.