ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A woman enters the birthing center in active labor. She tells the nurse that her membranes ruptured 26 hours ago. The nurse immediately takes the client's vital signs. Which is the rationale for the nurse's actions?
Correct Answer: D
Rationale: The correct answer is D. Prolonged rupture of membranes increases the risk of infection. When the amniotic sac has been ruptured for an extended period, bacteria can enter the uterus, potentially leading to chorioamnionitis, a serious infection that can harm both the mother and the baby. The nurse is taking vital signs to monitor for signs of infection, such as an elevated temperature or an increased heart rate.
Choices A, B, and C are incorrect because they do not directly relate to the potential complications of prolonged rupture of membranes. Pulse rates may increase with infection, but not solely due to the length of time of ruptured membranes. Respiratory rates are not typically impacted by ruptured membranes, and transient hypertension is not a common complication of this situation.
Question 2 of 5
A nurse is assessing a newborn following a circumcision. Which of the following should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. This is because chin quivering is a common sign of pain in newborns following circumcision. It indicates discomfort or distress. Decreased heart rate (
A), pinpoint pupils (
C), and slowed respirations (
D) are not typical indicators of pain in newborns. A decrease in heart rate and slowed respirations may suggest relaxation or a calming response, while pinpoint pupils may indicate a different issue such as opioid overdose.
Question 3 of 5
The parents of a 4-year-old child state that they had an infant die 2 months ago during childbirth.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the child's understanding of cause and effect, indicating cognitive development typical for a 4-year-old. The child's belief that their wish caused the baby's death aligns with the concept of magical thinking at this age.
Choices A and B show normal curiosity and coping mechanisms.
Choice C indicates possible signs of anxiety but does not directly address the child's understanding of the situation.
Question 4 of 5
For a client in the second trimester of pregnancy, which assessment data support a diagnosis of pregnancy-induced hypertension (PIH)?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 168/110 and 3+ proteinuria. In pregnancy-induced hypertension (PIH), elevated blood pressure (hypertension) and proteinuria are key diagnostic criteria. A blood pressure reading of 168/110 is significantly elevated and indicates hypertension. Proteinuria, indicated by 3+ protein in the urine, is a common sign of PIH due to impaired kidney function. Hemoglobin level, uterine tenderness, polyuria, weight loss, hematuria, and blood glucose levels are not specific to PIH. Hemoglobin level and weight loss may indicate anemia or inadequate weight gain in pregnancy. Polyuria could be due to hormonal changes. Hematuria may suggest urinary tract infection or kidney stones. High blood glucose levels may indicate gestational diabetes.
Question 5 of 5
Which condition must occur in order for identical (monozygotic) twins to develop?
Correct Answer: C
Rationale: The correct answer is C: One sperm fertilizes one ovum. Identical twins develop from a single fertilized egg that splits into two embryos. This process results in monozygotic twins with identical genetic makeup. If one sperm fertilizes two ova (
A), it would result in fraternal (dizygotic) twins, not identical twins. Two sperm fertilizing two ova (
B) would also produce fraternal twins with different genetic compositions. If two sperm fertilize one ovum (
D), it would lead to chromosomal abnormalities, not identical twins.
Therefore, the only scenario that aligns with the development of identical twins is when one sperm fertilizes one ovum, leading to the formation of monozygotic twins.