ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety?
Correct Answer: C
Rationale: The correct answer is C because changing the bedding and clothing frequently helps maintain cleanliness, comfort, and prevent skin breakdown due to moisture accumulation. This action also promotes hygiene and prevents infection. Option A is incorrect as toys with small parts are a choking hazard in an oxygen tent. Option D is incorrect as tucking the tent under the mattress may restrict airflow and increase the risk of suffocation.
Question 2 of 5
A labor and delivery nurse suspects that a client is in the transition stage of labor. Which information supports this conclusion? The client is:
Correct Answer: B
Rationale: The correct answer is B: irritable and needs frequent repetition of directions. This behavior is indicative of the transition stage of labor, which is the most intense phase characterized by strong contractions and nearing full dilation. The client's irritability and need for repeated directions suggest she is experiencing intense pain and discomfort, typical of this stage.
Incorrect choices:
A: Walking around and talking may occur in early labor but not indicative of transition.
C: Expelling feces and fetal head crowning indicate the pushing stage, not transition.
D: Reading a magazine and talking on the phone are unlikely behaviors during transition due to the intensity of contractions.
Question 3 of 5
The physician performs an amniotomy for a woman in labor. Which nursing action should follow the procedure?
Correct Answer: D
Rationale: The correct answer is D: Assess the fluid for color, odor, and amount. After an amniotomy, it is crucial to assess the amniotic fluid to ensure it is clear, odorless, and of the correct amount, which indicates normal fetal well-being. This assessment helps in identifying any potential issues such as meconium staining or infection. This nursing action directly follows the procedure and is essential for monitoring the health of both the mother and the baby. Checking capillary refill and oxygenation (
A) is important but not directly related to the amniotomy procedure. Monitoring maternal pulse and blood pressure (
B) is also important but not the immediate next step after amniotomy. Inspecting the perineum (
C) is necessary but not the priority following amniotomy.
Question 4 of 5
Which of the following are probable signs, strongly indicating pregnancy?
Correct Answer: C
Rationale: The correct answer is C because Hegar's sign and Chadwick's sign are both considered probable signs of pregnancy. Hegar's sign indicates softening of the lower uterine segment, which is a result of hormonal changes in pregnancy. Chadwick's sign refers to the bluish or purplish color of the cervix due to increased blood supply and estrogen levels. These signs are more reliable indicators of pregnancy compared to presumptive signs like quickening or ballottement, which can be caused by conditions other than pregnancy.
Therefore, option C is the most appropriate choice as it correctly identifies signs that strongly suggest the presence of pregnancy.
Question 5 of 5
A nurse is talking to the parents of a 3-year-old child about water safety precautions. Which of the following statements made by the parents indicates a need for clarification?
Correct Answer: D
Rationale: The correct answer is D because enrolling a 3-year-old child in swimming lessons does not necessarily prevent drowning incidents. It is crucial for parents to understand that even with swimming lessons, active supervision around water is essential to prevent accidents. Keeping the toilet seat down (
A), avoiding distractions during bath time (
B), and emptying buckets filled with water (
C) are all important water safety precautions to prevent drowning incidents. Swimming lessons are beneficial, but they should not replace vigilant supervision.