ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is reviewing discharge teaching with the parents of a child who has pediculosis.Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Seal nonwashable items in plastic bags for 14 days." This is important in pediculosis treatment to prevent lice from spreading. By sealing nonwashable items in plastic bags for 14 days, any lice present on the items will die due to lack of access to a host.
Choice A is incorrect because lice can spread through shared hats and combs as well, not just scarves and coats.
Choice B is incorrect because lice on pets are specific to that animal species and cannot infest humans.
Choice C is incorrect as hanging clothes outside will not effectively kill lice.
Question 4 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10. The child has just returned to the unit after a computed tomography (CT) scan of the abdomen and tells the nurse the pain just stopped. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should first address fluid balance because the child's sudden relief of pain can indicate a ruptured appendix, leading to potential fluid loss and dehydration. Monitoring fluid balance is crucial in this case to prevent complications.
Choice B is incorrect as it discusses exercise and insulin, which are not immediate priorities in this scenario.
Choice C mentions urine glucose monitoring, which is not directly related to the child's current condition.
Choice D focuses on diet modification, which is not the primary concern when the child may be experiencing a medical emergency. The priority is to assess and address the potential fluid imbalance due to the possibility of a ruptured appendix.
Question 5 of 5
During the postpartum period, a hospitalized client complains of discomfort related to her episiotomy. The nurse assigns the diagnosis of 'pain related to perineal sutures.' Which nursing intervention is most appropriate during the first 24 hours following an episiotomy?
Correct Answer: D
Rationale: The correct answer is D: Apply ice packs to the perineum. This intervention helps reduce swelling, inflammation, and provides pain relief by numbing the area. Ice constricts blood vessels, reducing blood flow to the area, which can minimize pain and discomfort. Ice packs should be applied for short periods, typically 20 minutes on and 20 minutes off, to prevent skin damage. This intervention is most appropriate during the first 24 hours post-episiotomy as it helps manage acute pain and promotes healing.
Other choices are incorrect:
A: Using petroleum jelly can increase the risk of infection and hinder wound healing.
B: Kegel exercises focus on pelvic floor muscle strength and do not directly address pain related to perineal sutures.
C: Sitz baths are beneficial for promoting healing but may not provide immediate pain relief like ice packs.