ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.
Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.
Question 2 of 5
A nurse is preparing to administer an intramuscular (IM) injection to a 2-month-old infant. Which of the following is the preferred injection site?
Correct Answer: A
Rationale: The correct answer is A: "Vastus lateralis." For infants, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the medication. The deltoid muscle is not recommended for infants as it is usually used for adults. The ventrogluteal site is more commonly used for older children and adults. Option D - "NA" is not a valid answer.
Question 3 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 4 of 5
A nurse is performing a routine physical examination on an adolescent client who asks, 'Why do I have to use a condom if my girlfriend is on the pill?' Which of the following is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D. The nurse should explain that while oral contraceptives are highly effective in preventing pregnancy, they do not protect against sexually transmitted diseases (STDs). This is important because even if the girlfriend is on the pill, using a condom is necessary to prevent STD transmission. Adolescents are at higher risk for STDs, so it is crucial to emphasize the importance of dual protection.
Choice A is incorrect as it does not specifically address the risk of STD transmission.
Choice B is incorrect because it focuses on shared responsibility rather than the health implications of using a condom.
Choice C is incorrect as it emphasizes the effectiveness of oral contraceptives rather than the need for STD protection.
Question 5 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.