ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A woman in the transition stage of labor is using paced breathing to relieve pain. She complains of blurred vision, numbness, and tingling of her hands and mouth. Which condition is indicated by these signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Hyperventilation. The woman's symptoms of blurred vision, numbness, and tingling in her hands and mouth are indicative of respiratory alkalosis, which occurs due to excessive ventilation. During paced breathing, she may be breathing too rapidly and shallowly, leading to a decrease in carbon dioxide levels in the blood, causing the symptoms mentioned. Anoxia (
A) refers to lack of oxygen, which would present with different symptoms. Anxiety (
C) may cause similar symptoms but would not explain the respiratory alkalosis. Hypertension (
D) is high blood pressure and does not align with the symptoms described.
Question 2 of 5
A client delivered vaginally six hours ago. Which assessment finding can be interpreted as normal?
Correct Answer: A
Rationale: The correct answer is A: Temperature 100.0 degrees F. This can be interpreted as normal post-vaginal delivery. The rationale is that a slight increase in temperature up to 100.4 degrees F is common due to the stress of labor and delivery, known as postpartal fever. It is considered normal as long as it doesn't exceed 100.4 degrees F.
Choices B, C, and D are incorrect as a blood pressure of 140/90 is elevated, respirations of 10 are too low, and a pulse of 90 is higher than expected after delivery. Monitoring these vital signs is crucial post-delivery to ensure the client's well-being.
Question 3 of 5
A nurse is holding an infant during a lumbar puncture for a suspicion of meningitis. The infant is in a sitting position with the buttocks at the edge of the table and the neck flexed, and the nurse is immobilizing the infant's arms and legs. Which assessment takes priority during the procedure?
Correct Answer: C
Rationale: Chest expansion is critical due to the infant's position, which may limit breathing.
Question 4 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 5 of 5
A 16-year-old client reports to the school nurse because of nausea and vomiting. After exploring the signs and symptoms with the client, the nurse asks the girl whether she could be pregnant. The girl confirms that she is pregnant, but states that she does not know how it happened. Which nursing diagnosis is most important?
Correct Answer: D
Rationale: The correct answer is D: Knowledge deficit related to the client's developmental stage and age. This nursing diagnosis is most important because the 16-year-old client's lack of understanding about how pregnancy occurs indicates a significant gap in knowledge. It is crucial to provide education to help the client make informed decisions about her health and pregnancy.
Choice A (Altered nutrition) is not the most important because addressing the client's lack of knowledge takes precedence over nutritional concerns.
Choice B (Risk for altered family processes) is not the priority as the immediate focus should be on educating the client.
Choice C (Ineffective coping) may be a concern but addressing knowledge deficit is more critical.
In summary, the client's lack of understanding about pregnancy and her developmental stage make addressing the knowledge deficit the priority nursing diagnosis in this situation.