ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client at 33 weeks gestation is admitted for suspected abruptio placenta. Which factor in the client's history supports this diagnosis? The client states that she:
Correct Answer: D
Rationale: The correct answer is D: used crack an hour before the symptoms began. Abruptio placenta is a serious condition where the placenta separates from the uterine wall before the baby is born. Crack cocaine is a known risk factor for abruptio placenta due to its vasoconstrictive effects, which can lead to reduced blood flow to the placenta and potentially cause it to separate. The other choices do not directly relate to abruptio placenta.
Choice A may be concerning for fetal alcohol syndrome, but it does not support abruptio placenta.
Choice B describes Braxton Hicks contractions, which are normal in pregnancy.
Choice C is a common occurrence and not typically associated with abruptio placenta.
Therefore, choice D is the most relevant factor supporting the diagnosis of abruptio placenta in this scenario.
Question 2 of 5
A nurse is monitoring a 6-month-old infant who is diagnosed with pneumonia. The nurse observes an absence of respirations and peripheral cyanosis. After determining unresponsiveness, which of the following is the next nursing action?
Correct Answer: C
Rationale: The correct answer is C: Position the infant to open the airway. For an unresponsive infant with absent respirations and cyanosis, the priority is to open the airway to facilitate breathing. Positioning the infant with a head tilt-chin lift maneuver helps prevent airway obstruction, allowing for adequate oxygenation. This step should be taken before providing rescue breaths or calling for assistance.
Choices A, B, and D are not the immediate priority in this situation. A: Looking, listening, and feeling for normal breathing is not appropriate when the infant is unresponsive with absent respirations. B: Giving rescue breaths is not effective if the airway is obstructed. D: Calling for assistance can be done after ensuring the airway is open.
Question 3 of 5
A nurse is caring for an adolescent with inadequate weight gain.
Correct Answer: C
Rationale: The correct answer is C: "Identify food preferences high in calcium and protein." For an adolescent with inadequate weight gain, focusing on foods rich in calcium and protein is crucial for promoting healthy growth and development. Calcium is essential for bone health and protein is important for muscle growth. Both nutrients support overall growth and can help the adolescent reach a healthy weight.
Choices A and B do not address the specific nutritional needs of an adolescent with inadequate weight gain.
Choice D is too broad and may lead to an increase in unhealthy calorie intake without addressing the quality of nutrients needed.
Question 4 of 5
An assistive personnel (AP) is caring for a child diagnosed with leukemia and undergoing chemotherapy.
Correct Answer: D
Rationale: The correct answer is D because taking a rectal temperature is a crucial nursing intervention for a child undergoing chemotherapy. Chemotherapy can compromise the immune system, making the child susceptible to infections. Monitoring the child's temperature is essential to detect early signs of infection.
Choice A is incorrect as a soft toothbrush may be recommended, but it is not the priority in this situation.
Choice B is irrelevant to the child's immediate care needs.
Choice C is incorrect because while infection control is important, maintaining a restriction of all visitors and health personnel is extreme and may hinder psychosocial well-being.
Question 5 of 5
Which is a major difference in the clinical manifestation of adolescents with anorexia nervosa compared to bulimia?
Correct Answer: C
Rationale: The major difference between adolescents with anorexia nervosa and those with bulimia is body image distortion. Clients with anorexia see themselves as being overweight no matter how underweight they become. Clients with bulimia see their weight realistically but have psychological problems that manifest in an eating disorder. Both disorders may involve binge eating and purging, but body image perception is a distinguishing factor.