ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 2 of 5
Immediately after birth, the nurse places the newborn under a radiant warmer. Which is the primary rationale for the nurse's action?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate an efficient means of thermoregulation. Placing the newborn under a radiant warmer helps prevent hypothermia by providing a controlled environment to maintain the baby's body temperature. This is crucial as newborns are at risk for heat loss due to their immature thermoregulatory systems.
Choice B is incorrect as initial assessment can be done without the need for a radiant warmer.
Choice C is incorrect as a cardiac monitor is not typically needed immediately after birth unless there are specific indications.
Choice D is incorrect as the primary focus should be on the newborn's well-being rather than family observation at this point.
Question 3 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 4 of 5
A nurse is caring for a child with measles.
Correct Answer: D
Rationale: The correct answer is D because administering vitamin A supplements is a standard treatment for children with measles to reduce complications and mortality. Vitamin A deficiency is common in measles cases and supplementation can help boost the immune system.
Choice A is incorrect as video games may not be appropriate during illness.
Choice B is incorrect as isolation should be maintained for 4 days after rash onset, not resolution.
Choice C is incorrect as overheating can worsen symptoms.
Question 5 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10.
Correct Answer: C
Rationale: The correct answer is C: "Notify the primary care provider." In this scenario, the child's pain rating of 8 indicates severe pain, which could be a sign of complications in appendicitis. Notifying the primary care provider is crucial for immediate evaluation and intervention. Continuing with pain assessment (
A) can delay necessary treatment. Taking vital signs (
B) is important but addressing the severe pain takes precedence. Auscultating bowel sounds (
D) may provide additional information but is not as urgent as notifying the primary care provider.