ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 23-month-old child with iron-deficiency anemia.
Correct Answer: D
Rationale: Rationale for Correct Answer (
D): Giving liquid iron through a straw placed in the back of the mouth minimizes contact with teeth, reducing the risk of staining. This method also helps prevent aspiration and ensures proper administration. Summary of Incorrect
Choices: A: Cow's milk inhibits iron absorption; B: Citrus fruits aid iron absorption; C: While true, it is not the most immediate concern; E, F, G: No relevance to the scenario.
Question 2 of 5
A client delivered vaginally six hours ago. Which assessment finding can be interpreted as normal?
Correct Answer: A
Rationale: The correct answer is A: Temperature 100.0 degrees F. This can be interpreted as normal post-vaginal delivery. The rationale is that a slight increase in temperature up to 100.4 degrees F is common due to the stress of labor and delivery, known as postpartal fever. It is considered normal as long as it doesn't exceed 100.4 degrees F.
Choices B, C, and D are incorrect as a blood pressure of 140/90 is elevated, respirations of 10 are too low, and a pulse of 90 is higher than expected after delivery. Monitoring these vital signs is crucial post-delivery to ensure the client's well-being.
Question 3 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 4 of 5
Which method of temperature regulation would safely and effectively prevent cold stress in a newly delivered infant?
Correct Answer: C
Rationale: The correct answer is C: Cover the baby's head with a hat. Newborns lose heat through their heads rapidly, so covering the head with a hat helps retain body heat. A hat is more effective in preventing cold stress compared to wrapping the baby loosely with a blanket (
A), ensuring the baby's feet are covered (
B), or positioning the baby on a heating pad (
D) because these methods may not specifically target heat loss through the head. Overall, covering the baby's head with a hat is a safe and effective method to prevent cold stress in a newly delivered infant.
Question 5 of 5
A nurse is monitoring a 6-month-old infant who is diagnosed with pneumonia. The nurse observes an absence of respirations and peripheral cyanosis. After determining unresponsiveness, which of the following is the next nursing action?
Correct Answer: C
Rationale: The correct answer is C: Position the infant to open the airway. For an unresponsive infant with absent respirations and cyanosis, the priority is to open the airway to facilitate breathing. Positioning the infant with a head tilt-chin lift maneuver helps prevent airway obstruction, allowing for adequate oxygenation. This step should be taken before providing rescue breaths or calling for assistance.
Choices A, B, and D are not the immediate priority in this situation. A: Looking, listening, and feeling for normal breathing is not appropriate when the infant is unresponsive with absent respirations. B: Giving rescue breaths is not effective if the airway is obstructed. D: Calling for assistance can be done after ensuring the airway is open.