ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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. The child has just returned to the unit after a computed tomography (CT) scan of the abdomen and tells the nurse the pain just stopped. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should first address fluid balance because the child's sudden relief of pain can indicate a ruptured appendix, leading to potential fluid loss and dehydration. Monitoring fluid balance is crucial in this case to prevent complications.
Choice B is incorrect as it discusses exercise and insulin, which are not immediate priorities in this scenario.
Choice C mentions urine glucose monitoring, which is not directly related to the child's current condition.
Choice D focuses on diet modification, which is not the primary concern when the child may be experiencing a medical emergency. The priority is to assess and address the potential fluid imbalance due to the possibility of a ruptured appendix.
Question 2 of 5
An 8-year-old child is admitted to a pediatric unit with a fractured femur and is placed in skeletal traction. Which of the following nursing interventions is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Compare pulses on affected site to contralateral side. This is the most appropriate nursing intervention because it helps in assessing the circulation and perfusion to the affected limb. By comparing pulses on the affected side to the contralateral side, the nurse can detect any potential circulation issues or complications related to the traction. Positioning the weights securely is important but not as critical as monitoring pulses. Providing high-fat meals and diversional activities are not directly related to the immediate care of a fractured femur in traction.
Question 3 of 5
Which conditions create a risk for uterine atony in the immediate postpartum period?
Correct Answer: D
Rationale: The correct answer is D. Multiparity (having multiple previous pregnancies) and multiple gestation (carrying twins or more) increase the risk of uterine atony, which is the failure of the uterus to contract after childbirth. These conditions lead to uterine stretching and weakening, making it difficult for the uterus to contract effectively to control bleeding postpartum. Option A is incorrect because breastfeeding and chromosome defects do not directly influence uterine atony. Option B is incorrect as postterm birth and amniotomy during labor do not specifically contribute to uterine atony. Option C is incorrect as gestational diabetes and pregnancy-induced hypertension are not directly associated with uterine atony.
Question 4 of 5
Which nursing instruction should be given to the breastfeeding mother regarding care of the breasts after discharge?
Correct Answer: C
Rationale: The correct answer is C. This choice is correct because pumping the breasts can help stimulate milk production if the infant is not nursing effectively or if the breasts are not being fully emptied. This action helps maintain milk supply and prevents issues like engorgement. Option A is incorrect because giving a bottle of formula can lead to decreased milk production and exacerbate engorgement. Option B is incorrect as lotion on nipples may not prevent issues and can actually harbor microorganisms. Option D is incorrect as using soap on the breasts can cause drying and cracking, and giving formula when engorged is not recommended.
Question 5 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.