ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Temperature. During an amniotomy, there is a risk of infection due to the introduction of bacteria into the amniotic sac. Monitoring the client's temperature is crucial as fever can indicate infection, which can be life-threatening for both the client and the fetus. It is essential to detect early signs of infection to initiate prompt treatment. Assessing O2 saturation, blood pressure, and urinary output are important but not the priority in this situation. O2 saturation may be monitored if there are concerns about fetal distress, blood pressure for signs of preeclampsia, and urinary output for kidney function, but these are not immediate concerns post-amniotomy.
Question 2 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A because laying the newborn across the lap and gently swaying can help soothe the baby by providing comfort and closeness. This position mimics the feeling of being held in the womb and the swaying motion can be calming. Placing the newborn in the crib in a prone position (
B) is not recommended due to the risk of sudden infant death syndrome. Offering a pacifier dipped in formula (
C) may lead to overfeeding and potential nipple confusion. Preparing a bottle of formula mixed with rice cereal (
D) is not recommended for newborns as their digestive systems are not ready for solids.
Question 3 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Before applying an external transducer for fetal monitoring at 38 weeks of gestation, the nurse should perform Leopold maneuvers to determine the fetal position, presentation, and lie. This helps in correctly placing the transducer over the fetal heart for accurate monitoring. Progression of dilatation and effacement (
A) is not necessary prior to applying the external transducer. Completing a sterile speculum exam (
C) and preparing a Nitrazine paper test (
D) are unrelated to fetal monitoring and are not indicated in this situation.
Question 4 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B because epigastric pain in a pregnant client at 34 weeks of gestation could indicate a serious condition such as preeclampsia. Preeclampsia is a potentially life-threatening condition characterized by high blood pressure and organ damage. It requires immediate assessment and intervention to prevent complications for both the mother and the baby. The other clients have less urgent issues that can be managed with ongoing monitoring and interventions. A: Gestational diabetes with a slightly elevated blood glucose level can be managed with adjustments to diet and medication. C: Mildly low hemoglobin levels can be addressed with iron supplementation and monitoring. D: Urinary frequency and dysuria in a client at 39 weeks of gestation are common symptoms of late-stage pregnancy and do not indicate a critical issue.
Question 5 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Pain assessment in newborns can be challenging due to their limited ability to communicate. Chin quivering is a nonverbal sign of pain in newborns. It indicates stress and discomfort. Decreased heart rate, pinpoint pupils, and slowed respirations are not reliable indicators of pain in newborns and may be attributed to other factors.
Therefore, the nurse should identify chin quivering as a significant sign of pain in this scenario.