ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the parent of an infant who has club feet with bilateral casts.
Correct Answer: A
Rationale: The correct answer is A: "Check the toes for any swelling or discoloration." This is correct because it is crucial to monitor for signs of complications such as impaired circulation in the toes due to the cast. Swelling or discoloration could indicate a problem that needs immediate attention.
Choice B is incorrect because monthly recasting is not the standard treatment for club feet with bilateral casts.
Choice C is incorrect because using a heated fan or dryer can cause burns or skin irritation to the infant's delicate skin under the cast.
Choice D is incorrect because giving Tylenol every 4 hours without consulting a healthcare provider may not be necessary or safe for the infant.
Overall, choice A is the most appropriate as it focuses on monitoring the infant's toes for any potential issues and taking appropriate action if needed.
Question 2 of 5
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because removing the condom 30 minutes after intercourse is incorrect. Condoms should be removed immediately after ejaculation to prevent spillage.
Choice A is correct as condoms should be put on when the penis is erect.
Choice C is also correct as leaving a space at the tip prevents breakage.
Choice D is incorrect as spermicidal gels can increase the risk of irritation without necessarily increasing effectiveness.
Question 3 of 5
A nurse is discussing nutrition with an adolescent who is pregnant.
Correct Answer: A
Rationale: Rationale for Correct Answer A:
This answer is correct because it emphasizes the importance of calories for energy and nutrition during pregnancy. Adequate calorie intake is crucial for the health of both the mother and the developing baby. By stating that any calories ingested are a source of energy and nutrition, the nurse is promoting a balanced approach to nutrition during pregnancy.
Summary of Incorrect
Choices:
B: While it is important to provide foods rich in calcium, protein, and iron during pregnancy, this choice does not address the overall importance of calories for energy and nutrition.
C: Encouraging between-meal snacks that are complex carbohydrates and fruits is beneficial, but it does not highlight the significance of overall calorie intake.
D: Planning meals and snacks for additional calories in the second and third trimester is important, but this choice does not emphasize the fundamental role of calories in nutrition during pregnancy.
Question 4 of 5
The nursery nurse reviews a newborn's birth history and notes that the Apgar scores were 5 at one minute after birth, and 7 at five minutes after birth. How should the nurse interpret these scores? The infant:
Correct Answer: D
Rationale: The correct answer is D: Required physical stimulation and supplemental oxygen. Apgar scores are used to quickly assess a newborn's overall condition at birth. A score of 5 at one minute and 7 at five minutes indicate the infant needed some assistance but not extensive resuscitation. The low scores may have been due to factors like mild respiratory distress or muscle tone.
Therefore, the appropriate intervention would be physical stimulation to help the infant respond and supplemental oxygen to support breathing.
Choice A is incorrect as brief oral and nasal suctioning would not address the underlying issues indicated by the Apgar scores.
Choice B is incorrect as endotracheal intubation and bagging are more aggressive interventions typically reserved for severe respiratory distress.
Choice C is incorrect as the infant was not stillborn and did not require CPR based on the Apgar scores.
Question 5 of 5
A woman in active labor receives a narcotic analgesic for pain control. If the narcotic is given a half an hour before delivery, which effect will the medication have on the infant?
Correct Answer: B
Rationale: The correct answer is B: It will cause the infant's respiratory rate to decrease. Narcotic analgesics can cross the placenta and affect the infant. These medications can cause respiratory depression in the newborn due to their central nervous system depressant effects. This effect is more pronounced when the narcotic is given close to delivery as the infant may still have the drug in its system after birth. Options A and C are incorrect as narcotics do not directly affect blood sugar or heart rate in infants. Option D is incorrect as narcotics typically cause sedation rather than hyperactivity.