ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client at ten weeks gestation tells the nurse that she has been having 'morning sickness.' The nurse advises the client to eat foods that are easy to digest and low in fat. Which is the rationale for the nurse's instruction?
Correct Answer: B
Rationale: The correct answer is B. A low-fat diet is digested faster and leaves less in the stomach that can be vomited. During pregnancy, hormonal changes can slow down digestion, leading to nausea and vomiting. By consuming foods that are low in fat, the client reduces the amount of time food stays in the stomach, decreasing the likelihood of vomiting.
Choice A is incorrect because a low-fat diet does not directly increase peristalsis.
Choices C and D are incorrect as they do not directly address the issue of reducing vomiting through faster digestion.
Question 2 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn at 12 hours after birth can indicate hyperbilirubinemia, which if left untreated, can lead to kernicterus and neurological damage. The nurse should report this to the provider for further evaluation and management. Acrocyanosis (choice
A) is a common finding in newborns and resolves on its own. Transient strabismus (choice
B) is also common and typically resolves within a few months. Caput succedaneum (choice
D) is swelling on the newborn's head due to pressure during delivery and is considered a normal finding.
Question 3 of 5
A nurse is caring for a 4-year-old client with full-thickness burns. Which of the following nursing actions are essential for the care of this child? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Level of consciousness, IV fluids, vital signs, and urinary output are critical in burn management; a high-protein, high-calorie diet is recommended instead of a low-calorie diet.
Question 4 of 5
A multiparous woman with a history of all vaginal births is admitted to the hospital in labor. After several hours, the client's labor has not progressed and she is getting tired and restless. The decision is made to proceed with cesarean delivery. The nurse recognizes the client's knowledge deficit regarding the surgical delivery and care after birth. Which is the appropriate expected outcome for correction of the client's knowledge deficit? The client will:
Correct Answer: C
Rationale:
Rationale: Option C is correct because the client verbalizing understanding about the reason for the unplanned surgery indicates that the client acknowledges the necessity of the cesarean delivery. This outcome is crucial for informed decision-making and psychological preparation. This knowledge empowers the client to participate in her care effectively. Option A is incorrect because coping mechanisms are important but not the primary outcome related to knowledge deficit correction. Option B is incorrect as bonding may be affected by the type of delivery and is not directly related to knowledge deficit correction. Option D is incorrect as decreased anxiety and fear are important outcomes but do not address the client's specific knowledge deficit.
Question 5 of 5
A nurse is preparing to take a rectal temperature on a 7-month-old infant. Which of the following should the nurse keep in mind when preparing to take the temperature?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The correct answer is B because rectal temperatures are typically 1.5-2°F higher than oral temperatures due to the body's core temperature being higher internally. This conversion is essential in accurately interpreting the infant's rectal temperature.
Summary of other choices:
A: Incorrect. The maximum insertion depth for a rectal thermometer in infants is 1 inch, not 2.5 inches.
C: Incorrect. Rectal temperatures are not the only accurate method for infants; axillary or temporal artery thermometers are also reliable.
D: Incorrect. Mercury thermometers are no longer recommended due to the risk of mercury exposure, and the time required to obtain a rectal temperature is typically shorter.