ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers. Which of the following should the nurse include?
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is essential to prevent accidental poisoning in preschoolers. This ensures that parents and caregivers can easily identify hazardous substances and take appropriate precautions. Removing labels can lead to confusion and accidental ingestion.
Incorrect choices:
A: Syrup of ipecac is no longer recommended for home use as it can do more harm than good.
B: Teaching children to cook plants before eating them does not address the immediate danger of accidental poisoning.
D: Placing medications above the sink does not guarantee safety as children can still access them easily.
In summary, choice C is the most effective preventive measure among the options provided.
Question 2 of 5
A nurse is monitoring a child whose parents are suspected of child neglect. Which of the following is an expected finding of neglect?
Correct Answer: A
Rationale: The correct answer is A: Lack of required immunizations. Neglect refers to the failure to provide for a child's basic needs, including healthcare. Lack of immunizations puts the child at risk for preventable diseases, indicating neglect. Parental lack of education (
B) or being in a lower socioeconomic group (
C) do not directly indicate neglect. Faded clothing with large shoes (
D) may suggest financial difficulties but does not necessarily indicate neglect.
Question 3 of 5
A client is admitted to the hospital for induction of labor. Which are the main indications for labor induction?
Correct Answer: B
Rationale: The correct answer is B: Pregnancy-induced hypertension and postterm fetus. Induction of labor is commonly indicated in cases of pregnancy-induced hypertension to prevent maternal and fetal complications. Postterm fetus is another indication as prolonged pregnancy can lead to increased risks for the baby. Placenta previa and twins (
Choice
A) are not typically indications for labor induction but rather require special management. Breech position and prematurity (
Choice
C) are not indications for induction but may require cesarean section or other interventions. Cephalopelvic disproportion and fetal distress (
Choice
D) are not primary indications for labor induction but may necessitate cesarean delivery or other interventions based on the specific circumstances.
Question 4 of 5
With routine prenatal screening, a woman in the second trimester of pregnancy is confirmed to have gestational diabetes. How may the nurse explain the role of diet and insulin in the management of blood sugar during pregnancy?
Correct Answer: B
Rationale: The correct answer is B. During pregnancy, insulin helps lower elevated blood sugar levels to meet the increased metabolic needs of the baby. Gestational diabetes occurs due to the body's inability to produce enough insulin to manage the increased blood sugar levels during pregnancy. By taking insulin, the mother can ensure that her blood sugar levels are controlled, reducing the risk of complications for both her and the baby. Oral hypoglycemics (choice
A) are not recommended during pregnancy due to potential risks to the baby.
Choice C is incorrect because gestational diabetes typically resolves after pregnancy. Eating three large meals (choice
D) can lead to fluctuations in blood sugar levels, which is not ideal for managing gestational diabetes.
Question 5 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn at 12 hours after birth can indicate hyperbilirubinemia, which if left untreated, can lead to kernicterus and neurological damage. The nurse should report this to the provider for further evaluation and management. Acrocyanosis (choice
A) is a common finding in newborns and resolves on its own. Transient strabismus (choice
B) is also common and typically resolves within a few months. Caput succedaneum (choice
D) is swelling on the newborn's head due to pressure during delivery and is considered a normal finding.