ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client is in the latent stage of labor. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to walk in the hall until membranes rupture. In the latent stage of labor, it is essential to promote physical activity to help facilitate the progression of labor. Walking can help gravity assist in the descent of the fetus. It also helps in the dilation and effacement of the cervix. Additionally, walking can help distract the client from the discomfort of contractions. Encouraging walking until the membranes rupture can help maintain the client's energy levels and promote a more efficient labor process.
Choice B is incorrect as it describes the Valsalva maneuver, which is not appropriate during labor.
Choice C refers to a breathing technique that is not specifically indicated for the latent stage of labor.
Choice D is not recommended as eating a light meal during labor may lead to nausea or vomiting.
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
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.
Question 4 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 5 of 5
An hour after delivery, a 4000 gram infant exhibits pallor, jitteriness, a blood sugar level of 40 gm/dL, irritability and periodic apnea. Which maternal condition could be the cause of the newborn's symptoms?
Correct Answer: D
Rationale: The correct answer is D: Gestational diabetes. The symptoms described in the infant, such as hypoglycemia (blood sugar level of 40 gm/dL), jitteriness, irritability, and pallor, are indicative of neonatal hypoglycemia. Gestational diabetes can lead to fetal hyperinsulinemia, causing the infant to have low blood sugar levels after birth. This is because the fetus becomes accustomed to high glucose levels in utero and continues to produce excessive insulin after delivery. The other choices are less likely to cause neonatal hypoglycemia: A (drug addiction) typically presents with withdrawal symptoms but not hypoglycemia, B (pregnancy-induced hypertension) may lead to intrauterine growth restriction but not directly cause hypoglycemia, and C (TORCH infections) can cause various congenital anomalies but not typically result in neonatal hypoglycemia.