ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 of 5
A client at 33 weeks gestation is admitted for suspected abruptio placenta. Which factor in the client's history supports this diagnosis? The client states that she:
Correct Answer: D
Rationale: The correct answer is D: used crack an hour before the symptoms began. Abruptio placenta is a serious condition where the placenta separates from the uterine wall before the baby is born. Crack cocaine is a known risk factor for abruptio placenta due to its vasoconstrictive effects, which can lead to reduced blood flow to the placenta and potentially cause it to separate. The other choices do not directly relate to abruptio placenta.
Choice A may be concerning for fetal alcohol syndrome, but it does not support abruptio placenta.
Choice B describes Braxton Hicks contractions, which are normal in pregnancy.
Choice C is a common occurrence and not typically associated with abruptio placenta.
Therefore, choice D is the most relevant factor supporting the diagnosis of abruptio placenta in this scenario.
Question 3 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.
Question 4 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal distress. Late decelerations occur after the peak of the contraction, indicating that the fetus is not receiving enough oxygen. This is a serious concern as it can lead to fetal distress and potential harm to the baby. The nurse's action in notifying the physician is crucial to address the uteroplacental insufficiency and prevent further complications.
A: Nuchal cord is associated with variable decelerations, not late decelerations.
B: Variable decelerations are linked to cord compression, not late decelerations.
C: Late decelerations are indeed a result of hypoxia and are not related to the strength of maternal contractions, but the critical issue here is the underlying cause of hypoxia, which is uteroplacental insufficiency.
Question 5 of 5
A client who is 37 weeks gestation comes to the office for a routine visit. This is the client's first baby and she asks the nurse how she will know when labor begins. Which signs indicate that true labor has begun?
Correct Answer: D
Rationale: The correct answer is D. Expulsion of pink-tinged mucous and contractions that start in the lower back are signs of true labor. Pink-tinged mucous, also known as bloody show, indicates cervical changes. Contractions starting in the lower back and radiating to the abdomen are characteristic of true labor. A: Contractions that are irregular and decrease in intensity when walking are signs of false labor. B: Abdominal pain starting at the fundus and progressing to the lower back is not a specific sign of true labor. C: Increased pressure on the bladder and urinary frequency are common in late pregnancy but not specific to true labor.