ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is collecting data on a 3-year-old child with eczema in an outpatient center.
Correct Answer: C
Rationale: The correct answer is C: "Place a humidifier in the child's room." This is correct because eczema is a skin condition that can worsen with dry air. Adding a humidifier can help keep the air moist, preventing the skin from becoming too dry and reducing eczema flare-ups.
Choice A is incorrect because plastic covers can trap heat and moisture, exacerbating eczema.
Choice B is incorrect because bubble baths can further dry out the skin due to the soap and chemicals in the bath products.
Choice D is incorrect because wool clothing can irritate the skin and worsen eczema symptoms.
Question 2 of 5
A client is admitted to the hospital for induction of labor. Which are the main indications for labor induction?
Correct Answer: B
Rationale: The correct answer is B: Pregnancy-induced hypertension and postterm fetus. Induction of labor is commonly indicated in cases of pregnancy-induced hypertension to prevent maternal and fetal complications. Postterm fetus is another indication as prolonged pregnancy can lead to increased risks for the baby. Placenta previa and twins (
Choice
A) are not typically indications for labor induction but rather require special management. Breech position and prematurity (
Choice
C) are not indications for induction but may require cesarean section or other interventions. Cephalopelvic disproportion and fetal distress (
Choice
D) are not primary indications for labor induction but may necessitate cesarean delivery or other interventions based on the specific circumstances.
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 for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.
Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.
Question 4 of 5
Which explanation is most appropriate when describing physiological jaundice to the parents of a newborn?
Correct Answer: B
Rationale: The correct answer is B: The baby is breaking down the extra red blood cells that were present at birth. Physiological jaundice in newborns occurs due to the breakdown of excess red blood cells, leading to an accumulation of bilirubin in the blood. This explanation is accurate as it directly relates to the underlying physiological process causing jaundice in newborns.
Choice A is incorrect as minor incompatibility of blood is not the primary cause of physiological jaundice.
Choice C is incorrect as excessive breast milk intake is not a cause of physiological jaundice.
Choice D is incorrect as hepatitis B exposure is unrelated to physiological jaundice in newborns.
Question 5 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.