ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal distress. Late decelerations occur after the peak of the contraction, indicating that the fetus is not receiving enough oxygen. This is a serious concern as it can lead to fetal distress and potential harm to the baby. The nurse's action in notifying the physician is crucial to address the uteroplacental insufficiency and prevent further complications.
A: Nuchal cord is associated with variable decelerations, not late decelerations.
B: Variable decelerations are linked to cord compression, not late decelerations.
C: Late decelerations are indeed a result of hypoxia and are not related to the strength of maternal contractions, but the critical issue here is the underlying cause of hypoxia, which is uteroplacental insufficiency.
Question 2 of 5
Which assessment finding indicates that placental separation has occurred during the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D: Lengthening of the umbilical cord. This is indicative of placental separation because as the placenta detaches from the uterine wall, the cord lengthens due to the release of tension. This signals successful completion of the third stage of labor.
Incorrect choices:
A: Decreased vaginal bleeding is not a reliable indicator of placental separation.
B: Contractions stopping may occur after the placenta is delivered, but it is not a definitive sign of placental separation.
C: Maternal shaking and chills can be caused by various factors and are not specific to placental separation.
Question 3 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bruising. By inspecting the skin daily, the nurse can promptly identify any lesions or signs of bleeding, allowing for timely intervention to prevent complications.
A: "Provide a diet high in carbohydrates" - This choice is incorrect as it is not directly related to managing myelosuppression or skin lesions in this case.
B: "Monitor rectal temperature every 4 hr" - While monitoring temperature is important, it is not specifically related to managing skin lesions caused by myelosuppression.
C: "Use lemon or glycerin swabs for oral care" - Oral care is important for overall health but does not directly address the risk of skin lesions associated with myelosuppression.
Question 4 of 5
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact.
Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context.
Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development.
Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
Question 5 of 5
A client in active labor receives a regional anesthetic. Which is the main purpose of regional anesthetics?
Correct Answer: B
Rationale: The correct answer is B:
To provide general loss of sensation by blocking sensory nerves to an area. Regional anesthetics work by blocking nerve impulses in a specific area, resulting in loss of sensation while the client remains conscious. This is ideal for labor as it allows pain relief without affecting consciousness or motor function.
Choice A is incorrect because regional anesthetics do not alter consciousness levels.
Choice C is incorrect as it refers to the mechanism of action of opioids, not regional anesthetics.
Choice D is incorrect as regional anesthetics act locally at the nerve level, not in the brain.