ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client in active labor receives a regional anesthetic. Which is the main purpose of regional anesthetics?
Correct Answer: B
Rationale: The correct answer is B:
To provide general loss of sensation by blocking sensory nerves to an area. Regional anesthetics work by blocking nerve impulses in a specific area, resulting in loss of sensation while the client remains conscious. This is ideal for labor as it allows pain relief without affecting consciousness or motor function.
Choice A is incorrect because regional anesthetics do not alter consciousness levels.
Choice C is incorrect as it refers to the mechanism of action of opioids, not regional anesthetics.
Choice D is incorrect as regional anesthetics act locally at the nerve level, not in the brain.
Question 2 of 5
With routine prenatal screening, a woman in the second trimester of pregnancy is confirmed to have gestational diabetes. How may the nurse explain the role of diet and insulin in the management of blood sugar during pregnancy?
Correct Answer: B
Rationale: The correct answer is B. During pregnancy, insulin helps lower elevated blood sugar levels to meet the increased metabolic needs of the baby. Gestational diabetes occurs due to the body's inability to produce enough insulin to manage the increased blood sugar levels during pregnancy. By taking insulin, the mother can ensure that her blood sugar levels are controlled, reducing the risk of complications for both her and the baby. Oral hypoglycemics (choice
A) are not recommended during pregnancy due to potential risks to the baby.
Choice C is incorrect because gestational diabetes typically resolves after pregnancy. Eating three large meals (choice
D) can lead to fluctuations in blood sugar levels, which is not ideal for managing gestational diabetes.
Question 3 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 4 of 5
A woman in active labor is admitted to the labor and delivery unit, accompanied by her partner. As labor progresses, the nurse notes he is not interacting with the woman and sits in the corner, looking out the window. How may the nurse understand the man's actions?
Correct Answer: B
Rationale: The correct answer is B: His actions reflect personality or cultural differences, which do not necessarily indicate a lack of concern. This choice acknowledges that individuals may react differently based on their personality traits or cultural upbringing. It's important for the nurse to consider that the man's behavior may be influenced by factors beyond his level of concern for the woman. This option promotes cultural competence and understanding diverse perspectives.
Incorrect choices:
A: Assumes his concern compromises his coping ability without evidence.
C: Assumes embarrassment and discomfort as the primary reasons, neglecting other possibilities.
D: Assumes religious beliefs solely dictate his actions, oversimplifying the situation.
Question 5 of 5
A nurse is preparing to administer an intramuscular (IM) injection to a 2-month-old infant. Which of the following is the preferred injection site?
Correct Answer: A
Rationale: The correct answer is A: "Vastus lateralis." For infants, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the medication. The deltoid muscle is not recommended for infants as it is usually used for adults. The ventrogluteal site is more commonly used for older children and adults. Option D - "NA" is not a valid answer.