ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client comes to the clinic to confirm that she is pregnant. Her last menstrual period was January 31st. According to Naegele's rule, when should the client expect to deliver?
Correct Answer: C
Rationale: The correct answer is C: November 7. Naegele's rule estimates the due date by adding 7 days to the first day of the last menstrual period (January 31), then subtracting 3 months, and adding 1 year. So, January 31 + 7 days = February 7. Subtracting 3 months gives November 7, and adding 1 year maintains the same year.
Therefore, the client should expect to deliver around November 7.
Choices A, B, and D are incorrect because they do not follow the correct calculation based on Naegele's rule. November only has 30 days, so November 31 in choice A is not a valid date. December 7 in choice B is also incorrect as it does not align with the correct calculation. December 24 in choice D is too far into December based on the calculation.
Question 2 of 5
A nurse is caring for a 7-month-old infant with acute bronchiolitis. The infant has a persistent, dry, hacking cough that worsens at night, tachypnea, and weakness. Which of the following actions should the nurse implement?
Correct Answer: D
Rationale: IV fluids ensure hydration and dilute secretions, which is crucial in bronchiolitis.
Question 3 of 5
A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Correct Answer: D
Rationale: The correct answer is D: Partial thromboplastin time (PTT). In hemophilia, there is a deficiency in specific clotting factors, leading to prolonged PTT due to impaired intrinsic pathway function. A: Fibrinogen level is normal in hemophilia as it is not affected by clotting factor deficiencies. B: Hemoglobin level is unrelated to hemophilia and reflects oxygen-carrying capacity of blood. C: Prothrombin time (PT) evaluates the extrinsic pathway, which is typically normal in hemophilia.
Therefore, the abnormal result is in PTT, making it the correct choice.
Question 4 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 5 of 5
A nurse has reinforced teaching to the parent of a 9-month-old infant who has redness in the diaper area and inner thighs. Which of the following statements by the parent indicates a correct understanding of this teaching?
Correct Answer: D
Rationale: Exposing the skin to air helps prevent irritation and promotes healing.