ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Take photos of the newborn to give to the parents. This action allows the parents to have tangible memories of their child, facilitating the grieving process. It acknowledges the baby's existence and validates the parents' experience. Option B may not be appropriate as it could be overwhelming for the parents at this time. Option C could isolate the parents from their support system. Option D may not be necessary immediately and could add pressure on the parents.
Question 2 of 5
A nurse is reinforcing teaching with the parent of an infant who has club feet with bilateral casts.
Correct Answer: A
Rationale: The correct answer is A: "Check the toes for any swelling or discoloration." This is correct because it is crucial to monitor for signs of complications such as impaired circulation in the toes due to the cast. Swelling or discoloration could indicate a problem that needs immediate attention.
Choice B is incorrect because monthly recasting is not the standard treatment for club feet with bilateral casts.
Choice C is incorrect because using a heated fan or dryer can cause burns or skin irritation to the infant's delicate skin under the cast.
Choice D is incorrect because giving Tylenol every 4 hours without consulting a healthcare provider may not be necessary or safe for the infant.
Overall, choice A is the most appropriate as it focuses on monitoring the infant's toes for any potential issues and taking appropriate action if needed.
Question 3 of 5
A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's anxiety while providing education and encouraging discussion about other possible reasons for a late period. This response shows empathy and supports the client in exploring potential causes without jumping to conclusions. It empowers the client to understand their body better and seek additional information.
Option B is incorrect as it assumes pregnancy without exploring other possibilities, which can increase the client's anxiety. Option C is not ideal as it focuses solely on physical symptoms, potentially overlooking emotional aspects. Option D is premature as it suggests taking a pregnancy test before discussing other factors, which may not address the client's concerns effectively.
Question 4 of 5
An hour after delivery, the nurse instills erythromycin (Ilotycin) ointment into the eyes of a newborn. The main objective of the treatment is to prevent infection caused by which organism?
Correct Answer: B
Rationale: The correct answer is B: Gonorrhea. Erythromycin ointment is used to prevent ophthalmia neonatorum, an eye infection in newborns caused by Neisseria gonorrhoeae, the bacteria responsible for gonorrhea. This infection can lead to blindness if left untreated. Rubella, Syphilis, and HIV are not prevented by erythromycin ointment. Rubella is a viral infection, syphilis is caused by Treponema pallidum bacteria, and HIV is a retrovirus.
Therefore, the main objective of the treatment is to prevent gonorrhea infection in the newborn's eyes.
Question 5 of 5
During the postpartum period, a hospitalized client complains of discomfort related to her episiotomy. The nurse assigns the diagnosis of 'pain related to perineal sutures.' Which nursing intervention is most appropriate during the first 24 hours following an episiotomy?
Correct Answer: D
Rationale: The correct answer is D: Apply ice packs to the perineum. This intervention helps reduce swelling, inflammation, and provides pain relief by numbing the area. Ice constricts blood vessels, reducing blood flow to the area, which can minimize pain and discomfort. Ice packs should be applied for short periods, typically 20 minutes on and 20 minutes off, to prevent skin damage. This intervention is most appropriate during the first 24 hours post-episiotomy as it helps manage acute pain and promotes healing.
Other choices are incorrect:
A: Using petroleum jelly can increase the risk of infection and hinder wound healing.
B: Kegel exercises focus on pelvic floor muscle strength and do not directly address pain related to perineal sutures.
C: Sitz baths are beneficial for promoting healing but may not provide immediate pain relief like ice packs.