ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an intramuscular (IM) injection to a 2-month-old infant. Which of the following is the preferred injection site?
Correct Answer: A
Rationale: The correct answer is A: "Vastus lateralis." For infants, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the medication. The deltoid muscle is not recommended for infants as it is usually used for adults. The ventrogluteal site is more commonly used for older children and adults. Option D - "NA" is not a valid answer.
Question 2 of 5
A nurse is providing care for a 2-day-old neonate with a cleft lip and palate. The nurse evaluates the parents' understanding of correct feeding methods. Which of the following observations indicates a need for further teaching?
Correct Answer: B
Rationale: Positioning the nipple toward the front makes sucking more difficult for infants with cleft palate.
Question 3 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A: Poor coordination, red eyes, and euphoria. These findings are consistent with marijuana inhalation due to specific effects of tetrahydrocannabinol (TH
C) on the body. Poor coordination is a common effect of marijuana as it affects motor skills. Red eyes occur due to vasodilation caused by THC. Euphoria is a common psychological effect of marijuana due to its impact on neurotransmitters. Slurred speech, confusion, combativeness are more indicative of alcohol intoxication. Loss of consciousness, respiratory depression, coma are more severe symptoms seen in opioid overdose. Hypertension, tachycardia, hyperflexia are not typical findings with marijuana use.
Question 4 of 5
During the active phase of labor, the membranes rupture and the nurse notes green amniotic fluid. Which nursing action should be initiated immediately?
Correct Answer: D
Rationale: The correct answer is D: Assess fetal heart rate. This is because green amniotic fluid indicates meconium staining, which can be a sign of fetal distress. Assessing the fetal heart rate is essential to determine the well-being of the baby and to ensure timely intervention if needed. Calling the physician (
A) can be done after assessing the fetal heart rate. Replacing the underpad (
B) is not a priority over assessing fetal well-being. Testing the fluid with pH paper (
C) may confirm the presence of meconium but does not provide immediate information about fetal status.
Question 5 of 5
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
Correct Answer: A
Rationale: The correct answer is A. Weak, ineffective suck and scalp edema may indicate a possible complication of the forceps delivery. Weak suck suggests potential nerve damage from the forceps, affecting the infant's ability to suck effectively. Scalp edema is a common complication due to the pressure exerted by the forceps during delivery, potentially leading to swelling and bruising. Molding of the head and jitteriness (
B) are common after vaginal delivery and not specific to forceps delivery. Shrill, high-pitched cry and tachypnea (
C) may indicate respiratory distress but are not directly related to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (
D) could be normal findings or related to other factors not specific to forceps delivery.