ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's anxiety while providing education and encouraging discussion about other possible reasons for a late period. This response shows empathy and supports the client in exploring potential causes without jumping to conclusions. It empowers the client to understand their body better and seek additional information.
Option B is incorrect as it assumes pregnancy without exploring other possibilities, which can increase the client's anxiety. Option C is not ideal as it focuses solely on physical symptoms, potentially overlooking emotional aspects. Option D is premature as it suggests taking a pregnancy test before discussing other factors, which may not address the client's concerns effectively.
Question 2 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.
Question 3 of 5
A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, 'When will my child get the next dose of MMR vaccine?' Which is the correct response by the nurse?
Correct Answer: D
Rationale: A second MMR, often called a booster, will be needed when the child enters middle school at age eleven or twelve years of age. This ensures full immunity from the diseases covered by the MMR vaccine.
Question 4 of 5
A nurse is monitoring a child whose parents are suspected of child neglect. Which of the following is an expected finding of neglect?
Correct Answer: A
Rationale: The correct answer is A: Lack of required immunizations. Neglect refers to the failure to provide for a child's basic needs, including healthcare. Lack of immunizations puts the child at risk for preventable diseases, indicating neglect. Parental lack of education (
B) or being in a lower socioeconomic group (
C) do not directly indicate neglect. Faded clothing with large shoes (
D) may suggest financial difficulties but does not necessarily indicate neglect.
Question 5 of 5
A woman in the first trimester comes to the clinic with vaginal bleeding. The physician determines that the fetus has died and that the placenta, fetus, and tissues still remain in the uterus. How should the findings be documented?
Correct Answer: C
Rationale: The correct answer is C: Missed abortion. In a missed abortion, the fetus has died but the products of conception are retained in the uterus. This scenario matches the description given in the question where the physician finds the fetus has died but the tissues remain. A missed abortion typically presents with vaginal bleeding and the absence of fetal heart tones. Other choices are incorrect because: A: Complete abortion would indicate that all products of conception have been expelled. B: Stillborn abortion is not a recognized medical term. D: Incomplete abortion would involve partial expulsion of products of conception.