ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because removing the condom 30 minutes after intercourse is incorrect. Condoms should be removed immediately after ejaculation to prevent spillage.
Choice A is correct as condoms should be put on when the penis is erect.
Choice C is also correct as leaving a space at the tip prevents breakage.
Choice D is incorrect as spermicidal gels can increase the risk of irritation without necessarily increasing effectiveness.
Question 2 of 5
The nurse notices a variable deceleration on a fetal monitor strip. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Turn the woman onto her left side to relieve pressure on the umbilical cord. Variable decelerations are often caused by umbilical cord compression. Turning the mother onto her left side helps to alleviate this pressure and improve blood flow to the baby. This position change can lead to an improvement in fetal heart rate patterns.
Option A is incorrect because variable decelerations are not caused by hyperventilation. Option B is incorrect because decreasing Pitocin may not address the underlying issue of umbilical cord compression. Option D is incorrect because reducing fluids does not address the cause of variable decelerations.
Question 3 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A, "Apical." This approach involves listening to the heart rate using a stethoscope placed over the apex of the heart. This method is most accurate for infants as it directly measures the heart's contractions. Radial (
B), ulna (
C), and brachial (
D) methods primarily measure peripheral pulses and may not accurately reflect the infant's heart rate due to potential delays in the transmission of the pulse from the heart to the peripheral arteries.
Therefore, apical auscultation is the preferred method for accurate heart rate measurement in infants.
Question 4 of 5
A breastfeeding mother complains of cramping. Which is the main cause of the client's afterpains?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the uterus. After giving birth, the uterus contracts to return to its pre-pregnancy size. Breastfeeding releases oxytocin, which stimulates these contractions, causing cramping or afterpains. Infection of the suture line (
A) and trauma during delivery (
D) are not typically associated with cramping. Constipation and bloating (
B) may cause discomfort but are not the main cause of afterpains in a breastfeeding mother.
Question 5 of 5
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
Correct Answer: A
Rationale: The correct answer is A. Weak, ineffective suck and scalp edema may indicate a possible complication of the forceps delivery. Weak suck suggests potential nerve damage from the forceps, affecting the infant's ability to suck effectively. Scalp edema is a common complication due to the pressure exerted by the forceps during delivery, potentially leading to swelling and bruising. Molding of the head and jitteriness (
B) are common after vaginal delivery and not specific to forceps delivery. Shrill, high-pitched cry and tachypnea (
C) may indicate respiratory distress but are not directly related to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (
D) could be normal findings or related to other factors not specific to forceps delivery.