ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A new mother receives instructions about care of her newborn son's circumcision. Which statement made by the mother indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Washing off yellowish mucous on the baby's penis is not necessary as it is a normal part of the healing process after circumcision. The presence of yellowish mucous indicates healing, and washing it off may disrupt the healing process.
Therefore, further teaching is needed to clarify this.
Choice A is correct as bleeding is a concern and should prompt a call to the doctor.
Choice C is incorrect as applying vaseline can help protect the circumcision site.
Choice D is correct as a sponge bath is recommended to keep the area clean.
Question 2 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.
Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.
Question 3 of 5
A nurse is caring for an infant with a history of vomiting due to gastroenteritis. Which of the following nursing interventions is considered the priority?
Correct Answer: A
Rationale: Positioning the infant prevents aspiration, which is the highest priority.
Question 4 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale:
Correct Answer: B - Have you noticed any bloody show or fluid coming from your vagina?
Rationale: Bloody show or fluid leakage can indicate rupture of membranes, a sign of true labor. This suggests the onset of cervical changes and progression towards delivery. It distinguishes true labor from false labor, which typically does not involve such physical signs.
Summary of other choices:
A: "When did your contractions begin?" - This question may provide a timeline for contractions but does not specifically differentiate between true and false labor.
C: "What happens to your contractions when you move about?" - Contractions can vary in intensity based on movement, but this does not definitively differentiate between true and false labor.
D: "Have you felt fetal movement over the last 24 hours?" - Fetal movement is important for assessing fetal well-being but does not directly help in distinguishing true labor from false labor.
Question 5 of 5
A nurse is caring for a 4-month-old infant with thrush (candidiasis) who is breastfed.
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Nystatin is an antifungal medication effective against thrush.
2. Administered for 2-3 days post-lesion disappearance ensures complete eradication.
3. Continuing breastfeeding is crucial for bonding and providing nutrition.
4. Stopping nystatin prematurely may result in incomplete treatment and recurrence.
Summary:
B: Switching to soy formula is unnecessary and disrupts breastfeeding.
C: Discontinuing breastfeeding is not recommended as breast milk is beneficial.
D: Scraping thrush can cause bleeding, discomfort, and worsen the condition.