ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client who is 37 weeks gestation comes to the office for a routine visit. This is the client's first baby and she asks the nurse how she will know when labor begins. Which signs indicate that true labor has begun?
Correct Answer: D
Rationale: The correct answer is D. Expulsion of pink-tinged mucous and contractions that start in the lower back are signs of true labor. Pink-tinged mucous, also known as bloody show, indicates cervical changes. Contractions starting in the lower back and radiating to the abdomen are characteristic of true labor. A: Contractions that are irregular and decrease in intensity when walking are signs of false labor. B: Abdominal pain starting at the fundus and progressing to the lower back is not a specific sign of true labor. C: Increased pressure on the bladder and urinary frequency are common in late pregnancy but not specific to true labor.
Question 2 of 5
A nurse is caring for a 4-year-old child who is prescribed an intravenous medication preoperatively. Which of the following therapeutic play techniques is most appropriate when reinforcing the teaching for this procedure?
Correct Answer: D
Rationale: The correct answer is D because explaining the basic procedure and providing the child with IV supplies to play with (minus the needle) allows the child to familiarize themselves with the equipment in a non-threatening manner. This technique helps reduce anxiety and fear associated with the procedure. Role-playing may not be suitable for all children as it can be too abstract for a 4-year-old. Reading a story may not provide the hands-on experience needed to understand the procedure. Watching a movie may not be interactive enough for the child to actively engage in the learning process. Providing IV supplies for play is the most appropriate therapeutic play technique for a 4-year-old to prepare them for the IV placement procedure.
Question 3 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers. Which of the following should the nurse include?
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is essential to prevent accidental poisoning in preschoolers. This ensures that parents and caregivers can easily identify hazardous substances and take appropriate precautions. Removing labels can lead to confusion and accidental ingestion.
Incorrect choices:
A: Syrup of ipecac is no longer recommended for home use as it can do more harm than good.
B: Teaching children to cook plants before eating them does not address the immediate danger of accidental poisoning.
D: Placing medications above the sink does not guarantee safety as children can still access them easily.
In summary, choice C is the most effective preventive measure among the options provided.
Question 4 of 5
A 6-year-old child is brought to the emergency department after falling down the outdoor steps. The parent's account of the incident appears different than the neighbor's account of the incident. Upon questioning the child, the nurse should recognize which of the following as usual pattern of behavior exhibited by an abused child?
Correct Answer: B
Rationale: Abused children often repeat their parents' stories to avoid implicating them.
Question 5 of 5
The nurse notices a variable deceleration on a fetal monitor strip. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Turn the woman onto her left side to relieve pressure on the umbilical cord. Variable decelerations are often caused by umbilical cord compression. Turning the mother onto her left side helps to alleviate this pressure and improve blood flow to the baby. This position change can lead to an improvement in fetal heart rate patterns.
Option A is incorrect because variable decelerations are not caused by hyperventilation. Option B is incorrect because decreasing Pitocin may not address the underlying issue of umbilical cord compression. Option D is incorrect because reducing fluids does not address the cause of variable decelerations.