ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
Correct Answer: B
Rationale: The correct answer is B:
To locate a pocket of fluid. Before performing an amniocentesis procedure, it is essential to locate a pocket of amniotic fluid to ensure the safety of the fetus during the procedure. This is crucial to avoid accidentally puncturing the fetus or placenta. An ultrasound helps in visualizing the amniotic fluid pocket and guiding the needle insertion accurately.
Incorrect
Choices:
A:
To estimate fetal weight - Estimating fetal weight is not a primary reason for preparing the client for an ultrasound before amniocentesis.
C:
To determine multiparity - Multiparity (number of pregnancies) does not directly impact the need for an ultrasound before an amniocentesis.
D:
To pre-screen for fetal anomalies - While ultrasounds can detect anomalies, the primary purpose before an amniocentesis is to locate the amniotic fluid pocket, not screen for anomalies.
Question 2 of 5
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Emotional lability. Emotional lability refers to rapid, unpredictable changes in emotions. During pregnancy, hormonal fluctuations can lead to mood swings, causing the client to feel happy one minute and crying the next. Focusing phase (
B) is not relevant to the client's emotional state. Cognitive restructuring (
C) involves changing negative thought patterns, which is not mentioned in the scenario. Couvade syndrome (
D) is a condition where male partners experience pregnancy-like symptoms, which is not applicable here.
Question 3 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because certain metabolic disorders can only be detected if the baby has been feeding normally. Without proper feeding, the test results may not be accurate.
Choice A is incorrect because informed consent is not required for universal newborn screening; it is a routine procedure.
Choice B is incorrect as urine is not typically used for the universal newborn screening.
Choice D is incorrect because premature newborns may have false positive tests, not false negative tests, due to immature liver enzyme development.
Question 4 of 5
A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reports increased urinary output. In hyperglycemia, the body tries to eliminate excess glucose through urine, leading to increased urinary output. This is known as osmotic diuresis. Diaphoresis (
B) is sweating, which is not typically associated with hyperglycemia. Blurred vision (
C) is a symptom of prolonged hyperglycemia affecting the eyes but not an immediate finding. Shallow respirations (
D) are not directly related to hyperglycemia.
Question 5 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Rationale: Reporting the client's HIV positive status to the local health department is crucial for monitoring and preventing the spread of the infection. This action ensures proper follow-up care, contact tracing, and support services for the client and at-risk individuals. Administering penicillin G (choice
A) is not indicated for HIV positive status. Instructing the client to schedule a pelvic examination (choice
B) is unrelated to the client's HIV status. Delaying HIV medication until after delivery (choice
C) can pose risks to both the mother and the baby.