ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A new client's pregnancy is confirmed at 10 weeks gestation. Her history reveals that her first two pregnancies ended in spontaneous abortion at 12 and 20 weeks. She has a 4-year-old and a set of 1-year-old twins. How should the nurse record the client's current gravida and para status?
Correct Answer: C
Rationale: The correct answer is C: Gravida 5, para 2. Gravida refers to the total number of pregnancies, including the current one. In this case, the client is currently pregnant for the 5th time. Para refers to the number of pregnancies that have reached viability (after 20 weeks). Since the client has a 4-year-old and a set of 1-year-old twins, she has had 2 pregnancies that reached viability.
Therefore, she is para 2.
Choices A and B are incorrect because they do not account for the client's previous pregnancies that reached viability.
Choice D is incorrect because it includes the current pregnancy in the para status, which is not accurate.
Question 2 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn at 12 hours after birth can indicate hyperbilirubinemia, which if left untreated, can lead to kernicterus and neurological damage. The nurse should report this to the provider for further evaluation and management. Acrocyanosis (choice
A) is a common finding in newborns and resolves on its own. Transient strabismus (choice
B) is also common and typically resolves within a few months. Caput succedaneum (choice
D) is swelling on the newborn's head due to pressure during delivery and is considered a normal finding.
Question 3 of 5
In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart?
Correct Answer: A
Rationale: Squatting is a compensatory mechanism that decreases venous return (deoxygenated blood) to the heart. This clinical sign is commonly seen in young children with Tetralogy of Fallot, a type of cyanotic heart disease. Squatting helps reduce the workload on the heart by decreasing the amount of deoxygenated blood returning to it.
Question 4 of 5
A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D. The nurse should inform the client that the provider will insert an intrauterine pressure catheter to monitor the strength of contractions. This is important because lack of cervical change in active labor could indicate ineffective contractions, which can lead to prolonged labor or fetal distress. Monitoring the strength of contractions with an intrauterine pressure catheter will help the healthcare team assess the effectiveness of contractions and make informed decisions on the next steps of labor management.
Other choices are incorrect:
A: Pushing without effective contractions can lead to exhaustion and fetal distress.
B: Medication to ripen the cervix is not indicated in this situation.
C: IV pain medicine does not address the issue of ineffective contractions.
E, F, G: No additional information provided.
Question 5 of 5
A woman in the transition stage of labor is using paced breathing to relieve pain. She complains of blurred vision, numbness, and tingling of her hands and mouth. Which condition is indicated by these signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Hyperventilation. The woman's symptoms of blurred vision, numbness, and tingling in her hands and mouth are indicative of respiratory alkalosis, which occurs due to excessive ventilation. During paced breathing, she may be breathing too rapidly and shallowly, leading to a decrease in carbon dioxide levels in the blood, causing the symptoms mentioned. Anoxia (
A) refers to lack of oxygen, which would present with different symptoms. Anxiety (
C) may cause similar symptoms but would not explain the respiratory alkalosis. Hypertension (
D) is high blood pressure and does not align with the symptoms described.