ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge teaching with the parents of a child who has pediculosis.Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Seal nonwashable items in plastic bags for 14 days." This is important in pediculosis treatment to prevent lice from spreading. By sealing nonwashable items in plastic bags for 14 days, any lice present on the items will die due to lack of access to a host.
Choice A is incorrect because lice can spread through shared hats and combs as well, not just scarves and coats.
Choice B is incorrect because lice on pets are specific to that animal species and cannot infest humans.
Choice C is incorrect as hanging clothes outside will not effectively kill lice.
Question 2 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 3 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 4 of 5
Which information is most important for the nurse to gather when a client is admitted to the unit in labor?
Correct Answer: B
Rationale: The correct answer is B: Medical problems or complications. This information is crucial for assessing potential risks during labor and ensuring appropriate care. Knowing the client's medical history helps the nurse anticipate and address any complications that may arise. Other choices like A, C, and D are important but not as critical as medical problems or complications. The support person's name (
A) is important for emotional support, fluid preferences (
C) can be addressed later, and weight gain during pregnancy (
D) is relevant but does not impact immediate care during labor.
Question 5 of 5
A new mother receives instructions about care of her newborn son's circumcision. Which statement made by the mother indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Washing off yellowish mucous on the baby's penis is not necessary as it is a normal part of the healing process after circumcision. The presence of yellowish mucous indicates healing, and washing it off may disrupt the healing process.
Therefore, further teaching is needed to clarify this.
Choice A is correct as bleeding is a concern and should prompt a call to the doctor.
Choice C is incorrect as applying vaseline can help protect the circumcision site.
Choice D is correct as a sponge bath is recommended to keep the area clean.