ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D: eliminate organisms that might initiate acute renal failure or rheumatic fever. Strep throat is caused by Group A Streptococcus bacteria, which if left untreated, can lead to serious complications such as acute renal failure or rheumatic fever. Completing the entire course of antibiotics is crucial to completely eradicate the bacteria and prevent these complications.
A: Alleviate painful swallowing does not directly address the potential serious complications associated with untreated strep throat.
B: Preventing sinusitis or abscess formation is important but not directly related to the severe complications of acute renal failure or rheumatic fever.
C: Reducing the risk of anterior cervical lymphadenopathy is a symptom of strep throat but not as critical as preventing the life-threatening complications mentioned in the correct answer.
Question 2 of 5
A nurse is preparing to take a rectal temperature on a 7-month-old infant. Which of the following should the nurse keep in mind when preparing to take the temperature?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The correct answer is B because rectal temperatures are typically 1.5-2°F higher than oral temperatures due to the body's core temperature being higher internally. This conversion is essential in accurately interpreting the infant's rectal temperature.
Summary of other choices:
A: Incorrect. The maximum insertion depth for a rectal thermometer in infants is 1 inch, not 2.5 inches.
C: Incorrect. Rectal temperatures are not the only accurate method for infants; axillary or temporal artery thermometers are also reliable.
D: Incorrect. Mercury thermometers are no longer recommended due to the risk of mercury exposure, and the time required to obtain a rectal temperature is typically shorter.
Question 3 of 5
A woman enters the birthing center in active labor. She tells the nurse that her membranes ruptured 26 hours ago. The nurse immediately takes the client's vital signs. Which is the rationale for the nurse's actions?
Correct Answer: D
Rationale: The correct answer is D. Prolonged rupture of membranes increases the risk of infection. When the amniotic sac has been ruptured for an extended period, bacteria can enter the uterus, potentially leading to chorioamnionitis, a serious infection that can harm both the mother and the baby. The nurse is taking vital signs to monitor for signs of infection, such as an elevated temperature or an increased heart rate.
Choices A, B, and C are incorrect because they do not directly relate to the potential complications of prolonged rupture of membranes. Pulse rates may increase with infection, but not solely due to the length of time of ruptured membranes. Respiratory rates are not typically impacted by ruptured membranes, and transient hypertension is not a common complication of this situation.
Question 4 of 5
A nurse is caring for a child with measles.
Correct Answer: D
Rationale: The correct answer is D because administering vitamin A supplements is a standard treatment for children with measles to reduce complications and mortality. Vitamin A deficiency is common in measles cases and supplementation can help boost the immune system.
Choice A is incorrect as video games may not be appropriate during illness.
Choice B is incorrect as isolation should be maintained for 4 days after rash onset, not resolution.
Choice C is incorrect as overheating can worsen symptoms.
Question 5 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D. Late decelerations are associated with uteroplacental insufficiency, leading to fetal hypoxia. This occurs due to poor oxygen exchange at the placenta during contractions, resulting in a delayed recovery of the fetal heart rate after the contraction peaks. Repeated late decelerations indicate ongoing fetal distress and the need for immediate intervention to prevent further compromise.
Choices A and B are incorrect as they describe different types of decelerations.
Choice C is incorrect as late decelerations are indeed associated with hypoxia. However, they are related to uteroplacental insufficiency rather than the strength of maternal contractions.
Choice D provides the most accurate explanation of late decelerations and their significance in indicating fetal distress.