ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A postterm infant is delivered by cesarean section because of fetal distress and meconium-stained amniotic fluid. The nursery nurse frequently monitors the baby's respiratory rate, observing for tachypnea. Which is the reason for the nurse's actions? The infant may:
Correct Answer: B
Rationale: The correct answer is B: develop meconium aspiration pneumonia. Meconium-stained amniotic fluid can lead to meconium aspiration in the infant, which can cause respiratory distress and potentially lead to meconium aspiration pneumonia. The nurse is monitoring for tachypnea as a sign of respiratory distress, which could indicate the development of meconium aspiration pneumonia.
Choice A is incorrect because respiratory depression from medications used during delivery is not the primary concern in this scenario.
Choice C is incorrect as an elevated temperature is not directly related to meconium aspiration.
Choice D is incorrect because a pneumothorax related to delivery is not typically associated with meconium-stained amniotic fluid.
Question 2 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D: eliminate organisms that might initiate acute renal failure or rheumatic fever. Strep throat is caused by Group A Streptococcus bacteria, which if left untreated, can lead to serious complications such as acute renal failure or rheumatic fever. Completing the entire course of antibiotics is crucial to completely eradicate the bacteria and prevent these complications.
A: Alleviate painful swallowing does not directly address the potential serious complications associated with untreated strep throat.
B: Preventing sinusitis or abscess formation is important but not directly related to the severe complications of acute renal failure or rheumatic fever.
C: Reducing the risk of anterior cervical lymphadenopathy is a symptom of strep throat but not as critical as preventing the life-threatening complications mentioned in the correct answer.
Question 3 of 5
Which is the recommended treatment for moderate to severe lead poisoning?
Correct Answer: C
Rationale: The heavy metal antagonist, edetate calcium disodium, is frequently the drug of choice for the removal of the lead toxin from the body. Chelating agents inactivate the toxicity of the lead and cause excretion through the urine. IV fluids, antiemetics, and antibiotics do not address the core issue of removing lead from the body.
Question 4 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10. The child has just returned to the unit after a computed tomography (CT) scan of the abdomen and tells the nurse the pain just stopped. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should first address fluid balance because the child's sudden relief of pain can indicate a ruptured appendix, leading to potential fluid loss and dehydration. Monitoring fluid balance is crucial in this case to prevent complications.
Choice B is incorrect as it discusses exercise and insulin, which are not immediate priorities in this scenario.
Choice C mentions urine glucose monitoring, which is not directly related to the child's current condition.
Choice D focuses on diet modification, which is not the primary concern when the child may be experiencing a medical emergency. The priority is to assess and address the potential fluid imbalance due to the possibility of a ruptured appendix.
Question 5 of 5
The nurse conducting a physical assessment notes that a 1-day-old newborn with dark skin has a bluish-gray discoloration over the lower back, the buttocks, and the scrotum. How should this assessment finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Mongolian spots. This is because Mongolian spots are common in newborns with dark skin and appear as bluish-gray discolorations over the lower back, buttocks, and sometimes the scrotum. They are benign and typically fade over time.
Choice A, extensive bruising, would present as red or purple discoloration from trauma, not bluish-gray.
Choice C, nevus flammeus, is a birthmark that appears as a pink or red patch, not bluish-gray.
Choice D, acrocyanosis, is a condition where the extremities have a bluish discoloration due to poor circulation, not localized to the lower back and buttocks.