ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about accidental poisoning to a parent during a routine well-child visit.
Correct Answer: C
Rationale: The correct answer is C: "I will call the Poison Control Center." This is the correct response because calling the Poison Control Center is the recommended action in case of accidental poisoning. The Poison Control Center has trained professionals who can provide immediate and specific guidance on the appropriate steps to take based on the type of poisoning and the individual's age and weight. This ensures the most appropriate and timely care for the child.
Choice A is incorrect because giving ipecac is no longer recommended as it can lead to complications.
Choice B is incorrect as placing the child on her back may not be relevant to treating poisoning.
Choice D is incorrect as giving a full glass of water may not be appropriate depending on the type of poisoning.
Question 2 of 5
A client at 33 weeks gestation is admitted for suspected abruptio placenta. Which factor in the client's history supports this diagnosis? The client states that she:
Correct Answer: D
Rationale: The correct answer is D: used crack an hour before the symptoms began. Abruptio placenta is a serious condition where the placenta separates from the uterine wall before the baby is born. Crack cocaine is a known risk factor for abruptio placenta due to its vasoconstrictive effects, which can lead to reduced blood flow to the placenta and potentially cause it to separate. The other choices do not directly relate to abruptio placenta.
Choice A may be concerning for fetal alcohol syndrome, but it does not support abruptio placenta.
Choice B describes Braxton Hicks contractions, which are normal in pregnancy.
Choice C is a common occurrence and not typically associated with abruptio placenta.
Therefore, choice D is the most relevant factor supporting the diagnosis of abruptio placenta in this scenario.
Question 3 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 4 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 5 of 5
A client, gravida 1, para 0, in active labor, is becoming increasingly anxious. Which statement by the nurse will block therapeutic communication with the client?
Correct Answer: C
Rationale: The correct answer is C: "Everything is going just fine." This statement blocks therapeutic communication by invalidating the client's feelings of anxiety. It dismisses the client's emotions and fails to address their concerns.
Choice A and B encourage the client to express their feelings and concerns, promoting open communication.
Choice D acknowledges the client's emotions and opens the door for further discussion. Overall, C is incorrect as it shuts down the client's expression of anxiety.