ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is monitoring a 6-month-old infant who is diagnosed with pneumonia. The nurse observes an absence of respirations and peripheral cyanosis. After determining unresponsiveness, which of the following is the next nursing action?
Correct Answer: C
Rationale: The correct answer is C: Position the infant to open the airway. For an unresponsive infant with absent respirations and cyanosis, the priority is to open the airway to facilitate breathing. Positioning the infant with a head tilt-chin lift maneuver helps prevent airway obstruction, allowing for adequate oxygenation. This step should be taken before providing rescue breaths or calling for assistance.
Choices A, B, and D are not the immediate priority in this situation. A: Looking, listening, and feeling for normal breathing is not appropriate when the infant is unresponsive with absent respirations. B: Giving rescue breaths is not effective if the airway is obstructed. D: Calling for assistance can be done after ensuring the airway is open.
Question 2 of 5
An 8-year-old child is admitted to a pediatric unit with a fractured femur and is placed in skeletal traction. Which of the following nursing interventions is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Compare pulses on affected site to contralateral side. This is the most appropriate nursing intervention because it helps in assessing the circulation and perfusion to the affected limb. By comparing pulses on the affected side to the contralateral side, the nurse can detect any potential circulation issues or complications related to the traction. Positioning the weights securely is important but not as critical as monitoring pulses. Providing high-fat meals and diversional activities are not directly related to the immediate care of a fractured femur in traction.
Question 3 of 5
A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's anxiety while providing education and encouraging discussion about other possible reasons for a late period. This response shows empathy and supports the client in exploring potential causes without jumping to conclusions. It empowers the client to understand their body better and seek additional information.
Option B is incorrect as it assumes pregnancy without exploring other possibilities, which can increase the client's anxiety. Option C is not ideal as it focuses solely on physical symptoms, potentially overlooking emotional aspects. Option D is premature as it suggests taking a pregnancy test before discussing other factors, which may not address the client's concerns effectively.
Question 4 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 5 of 5
The nurse midwife is concerned about a pregnant client who is suspected of having a TORCH infection. Which is the main reason TORCH infections are grouped together? They are:
Correct Answer: C
Rationale: The correct answer is C because TORCH infections (
Toxoplasmosis, Other agents, Rubella, Cytomegalovirus, Herpes simplex virus) are grouped together due to their ability to infect the fetus during pregnancy. These infections can lead to serious complications for the developing fetus, such as congenital anomalies, neurodevelopmental delays, and even fetal death.
Choice A is incorrect as TORCH infections can be harmful to both the woman and the fetus.
Choices B and D are incorrect because TORCH infections are not primarily sexually transmitted or transmitted by vectors but can be transmitted vertically from the mother to the fetus.