ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A woman at 42 weeks gestation enters the hospital for induction of labor. Since the infant is postterm, which complications should the nurse anticipate when planning for the delivery?
Correct Answer: B
Rationale: The correct answer is B: Asphyxia and meconium aspiration. At 42 weeks gestation, the risk of fetal distress increases due to reduced placental function, leading to possible asphyxia during labor. Postterm infants are at increased risk of passing meconium in utero, which can be aspirated during delivery, causing meconium aspiration syndrome. Cephalopelvic disproportion (choice
A) is not directly related to postterm pregnancy. Intraventricular hemorrhage and dry, cracked skin (choice
C) are not common complications associated with postterm pregnancies. Hyperbilirubinemia and hypocalcemia (choice
D) are more related to prematurity than postterm pregnancies.
Question 2 of 5
A nurse has reinforced teaching to the parent of a 9-month-old infant who has redness in the diaper area and inner thighs. Which of the following statements by the parent indicates a correct understanding of this teaching?
Correct Answer: D
Rationale: Exposing the skin to air helps prevent irritation and promotes healing.
Question 3 of 5
A nurse is caring for a 23-month-old child with iron-deficiency anemia.
Correct Answer: D
Rationale: Rationale for Correct Answer (
D): Giving liquid iron through a straw placed in the back of the mouth minimizes contact with teeth, reducing the risk of staining. This method also helps prevent aspiration and ensures proper administration. Summary of Incorrect
Choices: A: Cow's milk inhibits iron absorption; B: Citrus fruits aid iron absorption; C: While true, it is not the most immediate concern; E, F, G: No relevance to the scenario.
Question 4 of 5
A client at ten weeks gestation tells the nurse that she has been having 'morning sickness.' The nurse advises the client to eat foods that are easy to digest and low in fat. Which is the rationale for the nurse's instruction?
Correct Answer: B
Rationale: The correct answer is B. A low-fat diet is digested faster and leaves less in the stomach that can be vomited. During pregnancy, hormonal changes can slow down digestion, leading to nausea and vomiting. By consuming foods that are low in fat, the client reduces the amount of time food stays in the stomach, decreasing the likelihood of vomiting.
Choice A is incorrect because a low-fat diet does not directly increase peristalsis.
Choices C and D are incorrect as they do not directly address the issue of reducing vomiting through faster digestion.
Question 5 of 5
Which treatment is a nursing priority when providing care for an infant diagnosed with bacterial meningitis?
Correct Answer: D
Rationale: The first nursing priority is the implementation of antibiotic therapy, which prohibits the microbial damage to the neurologic system through the cerebral spinal fluid. Immediate treatment with antibiotics can prevent serious complications such as death, deafness, reduced cognitive ability, and seizures.