ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is initiating a plan of care for a toddler who is hospitalized. Which of the following instructions is important to communicate to the nursing assistant?
Correct Answer: B
Rationale: The correct answer is B: Offer the toddler finger foods for snacks. This instruction is important to communicate to the nursing assistant because toddlers are at risk for choking on certain foods due to their developing chewing and swallowing abilities. Finger foods are safer for toddlers to eat as they are easier to manage and reduce the risk of choking.
Other choices are incorrect because:
A: Having the toddler dress himself may not be appropriate as toddlers may need assistance and supervision due to their limited motor skills.
C: Providing opportunities to share toys with others is important for social development but is not as critical as ensuring the toddler's safety during meal times.
D: Asking the child simple yes or no questions is a good communication strategy but not as essential for the toddler's safety during snack times.
Question 2 of 5
A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D. The nurse should inform the client that the provider will insert an intrauterine pressure catheter to monitor the strength of contractions. This is important because lack of cervical change in active labor could indicate ineffective contractions, which can lead to prolonged labor or fetal distress. Monitoring the strength of contractions with an intrauterine pressure catheter will help the healthcare team assess the effectiveness of contractions and make informed decisions on the next steps of labor management.
Other choices are incorrect:
A: Pushing without effective contractions can lead to exhaustion and fetal distress.
B: Medication to ripen the cervix is not indicated in this situation.
C: IV pain medicine does not address the issue of ineffective contractions.
E, F, G: No additional information provided.
Question 3 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 4 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 5 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.