ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Withdrawal from SSRI in newborns can manifest as symptoms such as irritability, tremors, feeding difficulties, and gastrointestinal disturbances like vomiting. This occurs due to the sudden cessation of the medication that the baby was exposed to in utero. Large for gestational age (
A) is not a typical manifestation of SSRI withdrawal. Hyperglycemia (
B) is not commonly associated with SSRI withdrawal in newborns. Bradypnea (
C) refers to abnormally slow breathing rate and is not a usual withdrawal symptom of SSRIs in newborns.
Therefore, vomiting (
D) is the most appropriate choice in this scenario.
Question 2 of 5
A postterm infant is delivered by cesarean section because of fetal distress and meconium-stained amniotic fluid. The nursery nurse frequently monitors the baby's respiratory rate, observing for tachypnea. Which is the reason for the nurse's actions? The infant may:
Correct Answer: B
Rationale: The correct answer is B: develop meconium aspiration pneumonia. Meconium-stained amniotic fluid can lead to meconium aspiration in the infant, which can cause respiratory distress and potentially lead to meconium aspiration pneumonia. The nurse is monitoring for tachypnea as a sign of respiratory distress, which could indicate the development of meconium aspiration pneumonia.
Choice A is incorrect because respiratory depression from medications used during delivery is not the primary concern in this scenario.
Choice C is incorrect as an elevated temperature is not directly related to meconium aspiration.
Choice D is incorrect because a pneumothorax related to delivery is not typically associated with meconium-stained amniotic fluid.
Question 3 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, leading to fetal hypoxia. This occurs due to poor oxygen exchange at the placenta during contractions, resulting in a delayed recovery of the fetal heart rate after the contraction peaks. Repeated late decelerations indicate ongoing fetal distress and the need for immediate intervention to prevent further compromise.
Choices A and B are incorrect as they describe different types of decelerations.
Choice C is incorrect as late decelerations are indeed associated with hypoxia. However, they are related to uteroplacental insufficiency rather than the strength of maternal contractions.
Choice D provides the most accurate explanation of late decelerations and their significance in indicating fetal distress.
Question 4 of 5
Which is the recommended treatment for moderate to severe lead poisoning?
Correct Answer: C
Rationale: The heavy metal antagonist, edetate calcium disodium, is frequently the drug of choice for the removal of the lead toxin from the body. Chelating agents inactivate the toxicity of the lead and cause excretion through the urine. IV fluids, antiemetics, and antibiotics do not address the core issue of removing lead from the body.
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,