ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn skin to skin on the mother’s chest. This technique, known as kangaroo care, has been shown to reduce pain responses in newborns by promoting comfort and security through skin-to-skin contact with the mother. This closeness releases oxytocin, a hormone that helps reduce pain perception. Additionally, the mother's warmth and heartbeat can provide a soothing environment for the newborn during the procedure. Applying a cool pack (
A) may cause vasoconstriction and increase the pain sensation. Requesting an IM analgesic (
B) is not recommended for routine heel sticks in newborns due to potential side effects. Using a manual lancet blade (
C) may not be as effective in reducing pain as skin-to-skin contact.
Question 2 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the progression of lochia flow after delivery. Lochia starts as bright red (lochia rubra) on days 1-3, transitions to pinkish brown (lochia serosa) on days 4-9, and finally becomes creamy white (lochia alba) from days 10-21. This information is crucial for the postpartum client to understand what is normal regarding lochia color and duration.
Choice A is incorrect as it does not provide the correct timeline of color changes.
Choices B and C are incorrect because they focus on abnormal findings rather than the normal progression of lochia.
Question 3 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 4 of 5
Which of the following physical manifestations of a client with anorexia nervosa best indicates compliance with the treatment plan of care?
Correct Answer: A
Rationale: The correct answer is A: "A weekly weight gain of 1 kg (2.2 lb)". In anorexia nervosa, weight restoration is a crucial goal. A weekly weight gain of 1 kg indicates compliance with the treatment plan as it shows the client is consuming an adequate amount of calories and nutrients. This is essential for reversing the physical effects of malnutrition.
Choices B, C, and D are incorrect because soft bowel movements, return of regular menstrual periods, and improvement of oral mucosa, while important indicators of health, do not directly reflect compliance with the treatment plan in anorexia nervosa. Weight gain is a key marker of nutritional rehabilitation and recovery in individuals with anorexia nervosa.
Question 5 of 5
A client in active labor receives a regional anesthetic. Which is the main purpose of regional anesthetics?
Correct Answer: B
Rationale: The correct answer is B:
To provide general loss of sensation by blocking sensory nerves to an area. Regional anesthetics work by blocking nerve impulses in a specific area, resulting in loss of sensation while the client remains conscious. This is ideal for labor as it allows pain relief without affecting consciousness or motor function.
Choice A is incorrect because regional anesthetics do not alter consciousness levels.
Choice C is incorrect as it refers to the mechanism of action of opioids, not regional anesthetics.
Choice D is incorrect as regional anesthetics act locally at the nerve level, not in the brain.