ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reports increased urinary output. Hyperglycemia in gestational diabetes leads to increased blood sugar levels, which causes the kidneys to filter and excrete excess glucose through urine, resulting in increased urinary output. This is known as osmotic diuresis. Increased thirst is also common due to dehydration from increased urination.
B: Diaphoresis is not a typical finding in hyperglycemia in gestational diabetes.
C: Blurred vision is more commonly associated with severe hyperglycemia or long-standing diabetes, not specifically gestational diabetes.
D: Shallow respirations are not directly related to hyperglycemia in gestational diabetes.
Question 2 of 5
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non pharmacological interventions should the nurse include in the plan of care for lactation suppression?
Correct Answer: B
Rationale: The correct answer is B: Apply cabbage leaves to the breast. Cabbage leaves have been found to help reduce engorgement and discomfort during lactation suppression. The coolness and tightness of the cabbage leaves can help decrease milk production. Warm, moist packs (choice
A) can actually increase blood flow and milk production. Wearing a loose-fitting bra (choice
C) may provide comfort but does not directly aid in lactation suppression. Putting green tea bags (choice
D) on the breasts is not an evidence-based method for lactation suppression.
Question 3 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 4 of 5
Which condition must occur in order for identical (monozygotic) twins to develop?
Correct Answer: C
Rationale: The correct answer is C: One sperm fertilizes one ovum. Identical twins develop from a single fertilized egg that splits into two embryos. This process results in monozygotic twins with identical genetic makeup. If one sperm fertilizes two ova (
A), it would result in fraternal (dizygotic) twins, not identical twins. Two sperm fertilizing two ova (
B) would also produce fraternal twins with different genetic compositions. If two sperm fertilize one ovum (
D), it would lead to chromosomal abnormalities, not identical twins.
Therefore, the only scenario that aligns with the development of identical twins is when one sperm fertilizes one ovum, leading to the formation of monozygotic twins.
Question 5 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.