ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply).
Correct Answer: A,B,C,D
Rationale: The correct answer includes options A, B, C, and D. A newborn's normal heart rate ranges from 120 to 160 beats per minute, so a heart rate of 154/min (option
A) is within the expected range. A normal axillary temperature for a newborn is 97.7-99.5 F, so a temperature of 96.8 F (option
B) is slightly lower but still within the normal range. A newborn's normal respiratory rate is 30-60 breaths per minute, so a rate of 58/min (option
C) falls within the expected range. The average length of a full-term newborn is around 50 cm, so a length of 43 cm (option
D) is within the typical range for a newborn. Options E, F, and G are incorrect as they are not within the expected clinical findings for a newborn.
Question 2 of 5
A nurse is reinforcing teaching given to the parent of a 1-year-old child who has had a high temperature, vomiting, and diarrhea for 48 hr. The child has sunken eyes and cracked lips. Which of the following should the nurse tell the parent?
Correct Answer: C
Rationale: Oral rehydration solutions effectively replace fluids and electrolytes lost due to vomiting and diarrhea.
Question 3 of 5
The nursery nurse reviews a newborn's birth history and notes that the Apgar scores were 5 at one minute after birth, and 7 at five minutes after birth. How should the nurse interpret these scores? The infant:
Correct Answer: D
Rationale: The correct answer is D: Required physical stimulation and supplemental oxygen. Apgar scores are used to quickly assess a newborn's overall condition at birth. A score of 5 at one minute and 7 at five minutes indicate the infant needed some assistance but not extensive resuscitation. The low scores may have been due to factors like mild respiratory distress or muscle tone.
Therefore, the appropriate intervention would be physical stimulation to help the infant respond and supplemental oxygen to support breathing.
Choice A is incorrect as brief oral and nasal suctioning would not address the underlying issues indicated by the Apgar scores.
Choice B is incorrect as endotracheal intubation and bagging are more aggressive interventions typically reserved for severe respiratory distress.
Choice C is incorrect as the infant was not stillborn and did not require CPR based on the Apgar scores.
Question 4 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed any bloody show or fluid coming from your vagina?" This question is important to assess for true labor because bloody show or fluid leakage can indicate ruptured membranes, which is a sign of true labor. This information helps differentiate between true labor and false labor. The other options are not directly related to distinguishing between true and false labor. Option A focuses on the timing of contractions, which is important but not specific to differentiating true from false labor. Option C inquires about the effect of movement on contractions, which is relevant but not as indicative as the presence of bloody show or fluid. Option D is about fetal movement, which is important for monitoring fetal well-being but does not help differentiate true labor from false labor.
Question 5 of 5
Which condition must occur in order for identical (monozygotic) twins to develop?
Correct Answer: C
Rationale: The correct answer is C: One sperm fertilizes one ovum. Identical twins develop from a single fertilized egg that splits into two embryos. This process results in monozygotic twins with identical genetic makeup. If one sperm fertilizes two ova (
A), it would result in fraternal (dizygotic) twins, not identical twins. Two sperm fertilizing two ova (
B) would also produce fraternal twins with different genetic compositions. If two sperm fertilize one ovum (
D), it would lead to chromosomal abnormalities, not identical twins.
Therefore, the only scenario that aligns with the development of identical twins is when one sperm fertilizes one ovum, leading to the formation of monozygotic twins.