ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A multiparous woman with a history of all vaginal births is admitted to the hospital in labor. After several hours, the client's labor has not progressed and she is getting tired and restless. The decision is made to proceed with cesarean delivery. The nurse recognizes the client's knowledge deficit regarding the surgical delivery and care after birth. Which is the appropriate expected outcome for correction of the client's knowledge deficit? The client will:
Correct Answer: C
Rationale:
Rationale: Option C is correct because the client verbalizing understanding about the reason for the unplanned surgery indicates that the client acknowledges the necessity of the cesarean delivery. This outcome is crucial for informed decision-making and psychological preparation. This knowledge empowers the client to participate in her care effectively. Option A is incorrect because coping mechanisms are important but not the primary outcome related to knowledge deficit correction. Option B is incorrect as bonding may be affected by the type of delivery and is not directly related to knowledge deficit correction. Option D is incorrect as decreased anxiety and fear are important outcomes but do not address the client's specific knowledge deficit.
Question 2 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 3 of 5
A nurse is holding an infant during a lumbar puncture for a suspicion of meningitis. The infant is in a sitting position with the buttocks at the edge of the table and the neck flexed, and the nurse is immobilizing the infant's arms and legs. Which assessment takes priority during the procedure?
Correct Answer: C
Rationale: Chest expansion is critical due to the infant's position, which may limit breathing.
Question 4 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A: Poor coordination, red eyes, and euphoria. These findings are consistent with marijuana inhalation due to specific effects of tetrahydrocannabinol (TH
C) on the body. Poor coordination is a common effect of marijuana as it affects motor skills. Red eyes occur due to vasodilation caused by THC. Euphoria is a common psychological effect of marijuana due to its impact on neurotransmitters. Slurred speech, confusion, combativeness are more indicative of alcohol intoxication. Loss of consciousness, respiratory depression, coma are more severe symptoms seen in opioid overdose. Hypertension, tachycardia, hyperflexia are not typical findings with marijuana use.
Question 5 of 5
A nurse is reinforcing teaching with the parents of an infant diagnosed with recurrent otitis media. Which of the following is appropriate teaching to include?
Correct Answer: B
Rationale: The correct answer is B: Hold the child in an upright position while feeding. This is important because feeding the infant in an upright position can help prevent reflux of milk into the Eustachian tube, reducing the risk of otitis media. This position helps to promote proper drainage and ventilation of the middle ear, decreasing the likelihood of infection.
Incorrect answers:
A: Giving the child an over-the-counter antihistamine is not appropriate for otitis media, as it is typically caused by bacterial infection, not allergies.
C:
Tonsillectomy is not a first-line treatment for otitis media. It is usually considered if the child has recurrent tonsillitis, not otitis media.
D: Applying a warm compress over the affected ear may provide comfort but does not address the underlying cause or prevention of otitis media.