ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is talking to the parents of a 3-year-old child about water safety precautions. Which of the following statements made by the parents indicates a need for clarification?
Correct Answer: D
Rationale: The correct answer is D because enrolling a 3-year-old child in swimming lessons does not necessarily prevent drowning incidents. It is crucial for parents to understand that even with swimming lessons, active supervision around water is essential to prevent accidents. Keeping the toilet seat down (
A), avoiding distractions during bath time (
B), and emptying buckets filled with water (
C) are all important water safety precautions to prevent drowning incidents. Swimming lessons are beneficial, but they should not replace vigilant supervision.
Question 2 of 5
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 can cause complications during pregnancy, such as fetal anemia. An ultrasound can help monitor the fetus's growth, development, and possible signs of anemia. Administering antiviral medication (
A) is not typically recommended for parvovirus B19. Administering Haemophilus influenza type b vaccine (
C) is unrelated to the situation. Scheduling an indirect Coombs’ test (
D) is used to detect antibodies that could cause hemolytic disease in the newborn, which is not directly related to parvovirus B19 in the prenatal client.
Question 3 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn skin to skin on the mother’s chest. This technique, known as kangaroo care, has been shown to reduce pain responses in newborns by promoting comfort and security through skin-to-skin contact with the mother. This closeness releases oxytocin, a hormone that helps reduce pain perception. Additionally, the mother's warmth and heartbeat can provide a soothing environment for the newborn during the procedure. Applying a cool pack (
A) may cause vasoconstriction and increase the pain sensation. Requesting an IM analgesic (
B) is not recommended for routine heel sticks in newborns due to potential side effects. Using a manual lancet blade (
C) may not be as effective in reducing pain as skin-to-skin contact.
Question 4 of 5
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney.
Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
Question 5 of 5
The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response?
Correct Answer: A
Rationale: The correct response is A: The purpose of the NST is to assess the fetal CNS. This is correct because a nonstress test is used to evaluate the fetal well-being by monitoring the fetal heart rate in response to fetal movement. The CNS controls the heart rate, so the test assesses the functionality of the fetal CNS.
Incorrect choices:
B: Gestational age is typically determined through ultrasound or last menstrual period.
C: Fetal lie refers to the position of the fetus in the uterus, which is determined through physical examination or ultrasound.
D: Fetal breathing can be assessed through ultrasound or other specialized tests, not the NST.
In summary, the correct response focuses on the specific purpose of the NST, which is to evaluate the fetal CNS, making it the most appropriate choice among the options provided.