ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching given to the parent of a 1-year-old child who has had a high temperature, vomiting, and diarrhea for 48 hr. The child has sunken eyes and cracked lips. Which of the following should the nurse tell the parent?
Correct Answer: C
Rationale: Oral rehydration solutions effectively replace fluids and electrolytes lost due to vomiting and diarrhea.
Question 2 of 5
The nursery nurse delays the first bottle feeding of a newborn. Which is the most common reason for the nurse's actions? The infant has:
Correct Answer: B
Rationale: The correct answer is B: a respiratory rate above 60. A newborn with a respiratory rate above 60 may indicate respiratory distress, necessitating immediate evaluation before feeding to prevent aspiration. Delaying feeding allows for assessment and intervention if needed. Blood glucose level of 45 gm/dL (
A) is low but not typically a reason to delay feeding in a newborn. Blue hands and feet (
C) may suggest poor circulation but do not directly impact feeding. A heart murmur (
D) may require monitoring but is not a common reason to delay the first feeding.
Question 3 of 5
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Take photos of the newborn to give to the parents. This action allows the parents to have tangible memories of their child, facilitating the grieving process. It acknowledges the baby's existence and validates the parents' experience. Option B may not be appropriate as it could be overwhelming for the parents at this time. Option C could isolate the parents from their support system. Option D may not be necessary immediately and could add pressure on the parents.
Question 4 of 5
For a client in the second trimester of pregnancy, which assessment data support a diagnosis of pregnancy-induced hypertension (PIH)?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 168/110 and 3+ proteinuria. In pregnancy-induced hypertension (PIH), elevated blood pressure (hypertension) and proteinuria are key diagnostic criteria. A blood pressure reading of 168/110 is significantly elevated and indicates hypertension. Proteinuria, indicated by 3+ protein in the urine, is a common sign of PIH due to impaired kidney function. Hemoglobin level, uterine tenderness, polyuria, weight loss, hematuria, and blood glucose levels are not specific to PIH. Hemoglobin level and weight loss may indicate anemia or inadequate weight gain in pregnancy. Polyuria could be due to hormonal changes. Hematuria may suggest urinary tract infection or kidney stones. High blood glucose levels may indicate gestational diabetes.
Question 5 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale:
Correct Answer: B - Have you noticed any bloody show or fluid coming from your vagina?
Rationale: Bloody show or fluid leakage can indicate rupture of membranes, a sign of true labor. This suggests the onset of cervical changes and progression towards delivery. It distinguishes true labor from false labor, which typically does not involve such physical signs.
Summary of other choices:
A: "When did your contractions begin?" - This question may provide a timeline for contractions but does not specifically differentiate between true and false labor.
C: "What happens to your contractions when you move about?" - Contractions can vary in intensity based on movement, but this does not definitively differentiate between true and false labor.
D: "Have you felt fetal movement over the last 24 hours?" - Fetal movement is important for assessing fetal well-being but does not directly help in distinguishing true labor from false labor.