ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Emotional lability. Emotional lability refers to rapid and unpredictable changes in emotions, such as going from happy to crying quickly. This is a common experience during pregnancy due to hormonal fluctuations. Focusing phase (
B) refers to a stage of problem-solving, not emotional state. Cognitive restructuring (
C) involves changing negative thought patterns. Couvade syndrome (
D) is when a partner experiences pregnancy-like symptoms.
Choices E, F, and G are not relevant to the client's statement.
Question 2 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 3 of 5
Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. After delivery, the uterus should be firm and midline to facilitate uterine contractions and prevent excessive bleeding.
2. A soft, boggy uterus may indicate uterine atony, which can lead to postpartum hemorrhage.
3. A full bladder can impede uterine contractions by displacing the uterus and preventing it from contracting effectively.
4. By encouraging the client to void, the nurse helps ensure that the bladder is not obstructing the uterus, promoting proper uterine involution and preventing complications.
Summary of Incorrect
Choices:
B: Overdistended bladder pressing on episiotomy may cause dehiscence, but this is not the primary concern in this scenario.
C: Bladder distention causing urinary stasis and infection is a potential complication, but it is not directly related to uterine contractions.
D: Massaging the fundus can be helpful but addressing the full bladder is a priority
Question 4 of 5
The nursery nurse delays the first bottle feeding of a newborn. Which is the most common reason for the nurse's actions? The infant has:
Correct Answer: B
Rationale: The correct answer is B: a respiratory rate above 60. A newborn with a respiratory rate above 60 may indicate respiratory distress, necessitating immediate evaluation before feeding to prevent aspiration. Delaying feeding allows for assessment and intervention if needed. Blood glucose level of 45 gm/dL (
A) is low but not typically a reason to delay feeding in a newborn. Blue hands and feet (
C) may suggest poor circulation but do not directly impact feeding. A heart murmur (
D) may require monitoring but is not a common reason to delay the first feeding.
Question 5 of 5
A nurse is reviewing discharge instructions with the parent of an infant who has acute laryngotracheobronchitis (croup).
Correct Answer: C
Rationale:
Correct Answer: C - "I will place a dehumidifier in my child's room."
Rationale:
1. Croup is a viral infection that affects the upper airway, causing swelling and narrowing of the air passages.
2. Increasing humidity can help relieve symptoms by reducing airway inflammation and making breathing easier.
3. The use of a dehumidifier can help maintain optimal humidity levels in the child's room, making it easier for the child to breathe.
4. This intervention can provide comfort and support the child's recovery process.
Summary:
A: Corticosteroids are prescribed by the doctor to reduce airway inflammation in croup. This is a valid treatment, but not the focus of the given question.
B: Clearing nasal passages with a bulb syringe may help with congestion but is not the most effective intervention for croup.
D: Encouraging fluids is important to prevent dehydration but is not directly related to managing croup symptoms.
E, F,