ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A woman in active labor is admitted to the labor and delivery unit, accompanied by her partner. As labor progresses, the nurse notes he is not interacting with the woman and sits in the corner, looking out the window. How may the nurse understand the man's actions?
Correct Answer: B
Rationale: The correct answer is B: His actions reflect personality or cultural differences, which do not necessarily indicate a lack of concern. This choice acknowledges that individuals may react differently based on their personality traits or cultural upbringing. It's important for the nurse to consider that the man's behavior may be influenced by factors beyond his level of concern for the woman. This option promotes cultural competence and understanding diverse perspectives.
Incorrect choices:
A: Assumes his concern compromises his coping ability without evidence.
C: Assumes embarrassment and discomfort as the primary reasons, neglecting other possibilities.
D: Assumes religious beliefs solely dictate his actions, oversimplifying the situation.
Question 2 of 5
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Take photos of the newborn to give to the parents. This action allows the parents to have tangible memories of their child, facilitating the grieving process. It acknowledges the baby's existence and validates the parents' experience. Option B may not be appropriate as it could be overwhelming for the parents at this time. Option C could isolate the parents from their support system. Option D may not be necessary immediately and could add pressure on the parents.
Question 3 of 5
A labor and delivery nurse suspects that a client is in the transition stage of labor. Which information supports this conclusion? The client is:
Correct Answer: B
Rationale: The correct answer is B: irritable and needs frequent repetition of directions. This behavior is indicative of the transition stage of labor, which is the most intense phase characterized by strong contractions and nearing full dilation. The client's irritability and need for repeated directions suggest she is experiencing intense pain and discomfort, typical of this stage.
Incorrect choices:
A: Walking around and talking may occur in early labor but not indicative of transition.
C: Expelling feces and fetal head crowning indicate the pushing stage, not transition.
D: Reading a magazine and talking on the phone are unlikely behaviors during transition due to the intensity of contractions.
Question 4 of 5
A nurse is reinforcing home care instructions with the parents of a 5-year-old child who has acute bronchitis. In order to prevent the transmission of the virus, which of the following should the nurse include in the instructions?
Correct Answer: B
Rationale: The correct answer is B: Teach the child to wash his hands after coughing secretions into a tissue. This is because handwashing is one of the most effective ways to prevent the transmission of viruses, including acute bronchitis. By washing hands after coughing into a tissue, the child can reduce the spread of germs to others.
Choice A is incorrect because isolating the child in a bedroom may not be practical or necessary for preventing transmission.
Choice C is incorrect as there is no evidence to support that serving food on disposable dishes with plastic utensils prevents transmission of the virus.
Choice D is incorrect as wearing a mask whenever leaving the bedroom may not be necessary if proper hand hygiene is practiced.
Question 5 of 5
When planning for the care of an infant experiencing neonatal abstinence syndrome, which nursing assessment is most important?
Correct Answer: A
Rationale: The correct answer is A: The mother's ability to provide a safe environment. This is crucial because infants with neonatal abstinence syndrome require a stable and safe environment for their care. Assessing the mother's ability to create such an environment helps ensure the infant's safety and well-being. B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant. C is incorrect as the mother's ability to obtain treatment is secondary to the immediate need for a safe environment for the infant. D is incorrect as the severity of the infant's withdrawal, while important, does not address the preventive aspect of ensuring a safe environment.