ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client asks the nurse about the benefits of breastfeeding. Which response by the nurse provides the most accurate information?
Correct Answer: C
Rationale: The correct answer is C: Breast milk is easier to digest than formula. Breast milk is specifically designed to be easily digested by infants, leading to less digestive issues compared to formula. This is important for the baby's overall health and well-being.
Choice A is incorrect because weight loss varies among individuals and should not be the primary reason for breastfeeding.
Choice B is incorrect as breast milk contains the right balance of nutrients but not necessarily a greater amount of protein compared to formula.
Choice D is incorrect as breastfeeding is not a reliable method of contraception.
Question 2 of 5
The nurse notices a variable deceleration on a fetal monitor strip. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Turn the woman onto her left side to relieve pressure on the umbilical cord. Variable decelerations are often caused by umbilical cord compression. Turning the mother onto her left side helps to alleviate this pressure and improve blood flow to the baby. This position change can lead to an improvement in fetal heart rate patterns.
Option A is incorrect because variable decelerations are not caused by hyperventilation. Option B is incorrect because decreasing Pitocin may not address the underlying issue of umbilical cord compression. Option D is incorrect because reducing fluids does not address the cause of variable decelerations.
Question 3 of 5
Which physiological change takes place during the puerperium?
Correct Answer: C
Rationale: During the puerperium, the correct physiological change is that the uterus returns to a pre-pregnant size and location. This is because after childbirth, the uterus undergoes involution, gradually shrinking back to its normal size. This process helps the uterus to heal and return to its original position in the pelvis. The endometrium (choice
A) undergoes changes to prepare for menstruation, which occurs in the postpartum period, not during the puerperium. The placenta (choice
B) should have been expelled completely by the end of the third stage of labor, so it does not separate during the puerperium.
Choice D describes the process of labor, not a change during the puerperium.
Question 4 of 5
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Take photos of the newborn to give to the parents. This action allows the parents to have tangible memories of their child, facilitating the grieving process. It acknowledges the baby's existence and validates the parents' experience. Option B may not be appropriate as it could be overwhelming for the parents at this time. Option C could isolate the parents from their support system. Option D may not be necessary immediately and could add pressure on the parents.
Question 5 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Withdrawal from SSRI in newborns can manifest as symptoms such as irritability, tremors, feeding difficulties, and gastrointestinal disturbances like vomiting. This occurs due to the sudden cessation of the medication that the baby was exposed to in utero. Large for gestational age (
A) is not a typical manifestation of SSRI withdrawal. Hyperglycemia (
B) is not commonly associated with SSRI withdrawal in newborns. Bradypnea (
C) refers to abnormally slow breathing rate and is not a usual withdrawal symptom of SSRIs in newborns.
Therefore, vomiting (
D) is the most appropriate choice in this scenario.