ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client, gravida 1, para 0, in active labor, is becoming increasingly anxious. Which statement by the nurse will block therapeutic communication with the client?
Correct Answer: C
Rationale: The correct answer is C: "Everything is going just fine." This statement blocks therapeutic communication by invalidating the client's feelings of anxiety. It dismisses the client's emotions and fails to address their concerns.
Choice A and B encourage the client to express their feelings and concerns, promoting open communication.
Choice D acknowledges the client's emotions and opens the door for further discussion. Overall, C is incorrect as it shuts down the client's expression of anxiety.
Question 2 of 5
A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety?
Correct Answer: C
Rationale: The correct answer is C because changing the bedding and clothing frequently helps maintain cleanliness, comfort, and prevent skin breakdown due to moisture accumulation. This action also promotes hygiene and prevents infection. Option A is incorrect as toys with small parts are a choking hazard in an oxygen tent. Option D is incorrect as tucking the tent under the mattress may restrict airflow and increase the risk of suffocation.
Question 3 of 5
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Emotional lability. Emotional lability refers to rapid and unpredictable changes in emotions, such as going from happy to crying quickly. This is a common experience during pregnancy due to hormonal fluctuations. Focusing phase (
B) refers to a stage of problem-solving, not emotional state. Cognitive restructuring (
C) involves changing negative thought patterns. Couvade syndrome (
D) is when a partner experiences pregnancy-like symptoms.
Choices E, F, and G are not relevant to the client's statement.
Question 4 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 5 of 5
A women in her first trimester contracts rubella. How is the fetus likely to be affected?
Correct Answer: B
Rationale: The correct answer is B: Heart defects and cataracts. Rubella infection in the first trimester can lead to congenital rubella syndrome, causing heart defects and cataracts in the fetus. Rubella can disrupt fetal development during this critical period.
Choices A, C, and D do not directly correlate with the effects of rubella infection in the first trimester. Reproductive and urinary defects are not commonly associated with rubella. Spinal cord and skeletal defects are more commonly linked to neural tube defects or genetic conditions. Polydactyly and club feet are not typically caused by rubella infection during pregnancy.