ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client delivered two days ago and is suspected of having postpartum 'blues.' Which symptoms confirm the diagnosis?
Correct Answer: A
Rationale: The correct answer is A. Uncontrollable crying and insecurity are common symptoms of postpartum blues, which typically occur within the first two weeks after childbirth. This emotional response is considered normal and does not usually require treatment.
Choice B is incorrect as depression and suicidal thoughts are more indicative of postpartum depression, a more severe condition.
Choice C is incorrect as the sense of inability to care for the family and extreme anxiety are symptoms of postpartum anxiety disorder, not postpartum blues.
Choice D is incorrect as nausea and vomiting are not typically associated with postpartum blues.
Question 2 of 5
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact.
Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context.
Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development.
Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
Question 3 of 5
A 17-year-old client delivered her first baby 8 hours ago. Which of the following is an indication that appropriate bonding is occurring? The client:
Correct Answer: A
Rationale: The correct answer is A because making eye contact with the baby is a fundamental aspect of bonding. Eye contact promotes attachment, emotional connection, and communication between the mother and baby. This visual interaction fosters feelings of love, protection, and bonding. In contrast, choices B, C, and D do not directly demonstrate bonding.
Choice B indicates confusion or lack of understanding about the baby's needs.
Choice C involves practical caregiving, not necessarily bonding.
Choice D focuses on the baby's physical appearance rather than emotional connection. Overall, making eye contact is a key indicator of the emotional bond forming between the mother and her baby.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client’s condition to the local health department. This is important to ensure proper monitoring, contact tracing, and support for the client and public health. Administering penicillin G (choice
A) is not indicated for HIV positive individuals. Instructing the client to schedule an annual pelvic exam (choice
B) is not a priority in this situation. Starting medication for HIV after delivery (choice
C) may delay necessary treatment for the client.
Therefore, reporting the client's condition to the local health department is the most appropriate action to ensure comprehensive care and public health measures.
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.