ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A 6-year-old child is brought to the emergency department after falling down the outdoor steps. The parent's account of the incident appears different than the neighbor's account of the incident. Upon questioning the child, the nurse should recognize which of the following as usual pattern of behavior exhibited by an abused child?
Correct Answer: B
Rationale: Abused children often repeat their parents' stories to avoid implicating them.
Question 2 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A: Poor coordination, red eyes, and euphoria. These findings are consistent with marijuana inhalation due to specific effects of tetrahydrocannabinol (TH
C) on the body. Poor coordination is a common effect of marijuana as it affects motor skills. Red eyes occur due to vasodilation caused by THC. Euphoria is a common psychological effect of marijuana due to its impact on neurotransmitters. Slurred speech, confusion, combativeness are more indicative of alcohol intoxication. Loss of consciousness, respiratory depression, coma are more severe symptoms seen in opioid overdose. Hypertension, tachycardia, hyperflexia are not typical findings with marijuana use.
Question 3 of 5
Which conditions create a risk for uterine atony in the immediate postpartum period?
Correct Answer: D
Rationale: The correct answer is D. Multiparity (having multiple previous pregnancies) and multiple gestation (carrying twins or more) increase the risk of uterine atony, which is the failure of the uterus to contract after childbirth. These conditions lead to uterine stretching and weakening, making it difficult for the uterus to contract effectively to control bleeding postpartum. Option A is incorrect because breastfeeding and chromosome defects do not directly influence uterine atony. Option B is incorrect as postterm birth and amniotomy during labor do not specifically contribute to uterine atony. Option C is incorrect as gestational diabetes and pregnancy-induced hypertension are not directly associated with uterine atony.
Question 4 of 5
A nurse is reinforcing teaching with the parents of an infant diagnosed with recurrent otitis media. Which of the following is appropriate teaching to include?
Correct Answer: B
Rationale: The correct answer is B: Hold the child in an upright position while feeding. This is important because feeding the infant in an upright position can help prevent reflux of milk into the Eustachian tube, reducing the risk of otitis media. This position helps to promote proper drainage and ventilation of the middle ear, decreasing the likelihood of infection.
Incorrect answers:
A: Giving the child an over-the-counter antihistamine is not appropriate for otitis media, as it is typically caused by bacterial infection, not allergies.
C:
Tonsillectomy is not a first-line treatment for otitis media. It is usually considered if the child has recurrent tonsillitis, not otitis media.
D: Applying a warm compress over the affected ear may provide comfort but does not address the underlying cause or prevention of otitis media.
Question 5 of 5
A client is admitted to the hospital for induction of labor. Which are the main indications for labor induction?
Correct Answer: B
Rationale: The correct answer is B: Pregnancy-induced hypertension and postterm fetus. Induction of labor is commonly indicated in cases of pregnancy-induced hypertension to prevent maternal and fetal complications. Postterm fetus is another indication as prolonged pregnancy can lead to increased risks for the baby. Placenta previa and twins (
Choice
A) are not typically indications for labor induction but rather require special management. Breech position and prematurity (
Choice
C) are not indications for induction but may require cesarean section or other interventions. Cephalopelvic disproportion and fetal distress (
Choice
D) are not primary indications for labor induction but may necessitate cesarean delivery or other interventions based on the specific circumstances.