ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is performing a routine physical examination on an adolescent client who asks, 'Why do I have to use a condom if my girlfriend is on the pill?' Which of the following is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D. The nurse should explain that while oral contraceptives are highly effective in preventing pregnancy, they do not protect against sexually transmitted diseases (STDs). This is important because even if the girlfriend is on the pill, using a condom is necessary to prevent STD transmission. Adolescents are at higher risk for STDs, so it is crucial to emphasize the importance of dual protection.
Choice A is incorrect as it does not specifically address the risk of STD transmission.
Choice B is incorrect because it focuses on shared responsibility rather than the health implications of using a condom.
Choice C is incorrect as it emphasizes the effectiveness of oral contraceptives rather than the need for STD protection.
Question 2 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 3 of 5
Which assessment finding suggests thrombophlebitis in a postpartum client?
Correct Answer: D
Rationale: The correct answer is D. Positive Homan's sign, calf warmth, and pain are classic signs of thrombophlebitis. Homan's sign is elicited by dorsiflexing the foot, which causes pain in the calf with a blood clot. Calf warmth and pain indicate inflammation and possible clot formation. These findings are specific to thrombophlebitis.
Choice A is incorrect because it describes signs of pulmonary embolism, which is a complication of untreated thrombophlebitis.
Choice B is incorrect as it lists symptoms of a pulmonary embolism, not thrombophlebitis.
Choice C describes signs of sepsis or intra-abdominal infection, not thrombophlebitis.
Question 4 of 5
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact.
Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context.
Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development.
Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
Question 5 of 5
Immediately after birth, the nurse places the newborn under a radiant warmer. Which is the primary rationale for the nurse's action?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate an efficient means of thermoregulation. Placing the newborn under a radiant warmer helps prevent hypothermia by providing a controlled environment to maintain the baby's body temperature. This is crucial as newborns are at risk for heat loss due to their immature thermoregulatory systems.
Choice B is incorrect as initial assessment can be done without the need for a radiant warmer.
Choice C is incorrect as a cardiac monitor is not typically needed immediately after birth unless there are specific indications.
Choice D is incorrect as the primary focus should be on the newborn's well-being rather than family observation at this point.