ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A women in her first trimester contracts rubella. How is the fetus likely to be affected?
Correct Answer: B
Rationale: The correct answer is B: Heart defects and cataracts. Rubella infection in the first trimester can lead to congenital rubella syndrome, causing heart defects and cataracts in the fetus. Rubella can disrupt fetal development during this critical period.
Choices A, C, and D do not directly correlate with the effects of rubella infection in the first trimester. Reproductive and urinary defects are not commonly associated with rubella. Spinal cord and skeletal defects are more commonly linked to neural tube defects or genetic conditions. Polydactyly and club feet are not typically caused by rubella infection during pregnancy.
Question 2 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 3 of 5
Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. After delivery, the uterus should be firm and midline to facilitate uterine contractions and prevent excessive bleeding.
2. A soft, boggy uterus may indicate uterine atony, which can lead to postpartum hemorrhage.
3. A full bladder can impede uterine contractions by displacing the uterus and preventing it from contracting effectively.
4. By encouraging the client to void, the nurse helps ensure that the bladder is not obstructing the uterus, promoting proper uterine involution and preventing complications.
Summary of Incorrect
Choices:
B: Overdistended bladder pressing on episiotomy may cause dehiscence, but this is not the primary concern in this scenario.
C: Bladder distention causing urinary stasis and infection is a potential complication, but it is not directly related to uterine contractions.
D: Massaging the fundus can be helpful but addressing the full bladder is a priority
Question 4 of 5
Which of the following are probable signs, strongly indicating pregnancy?
Correct Answer: C
Rationale: The correct answer is C because Hegar's sign and Chadwick's sign are both considered probable signs of pregnancy. Hegar's sign indicates softening of the lower uterine segment, which is a result of hormonal changes in pregnancy. Chadwick's sign refers to the bluish or purplish color of the cervix due to increased blood supply and estrogen levels. These signs are more reliable indicators of pregnancy compared to presumptive signs like quickening or ballottement, which can be caused by conditions other than pregnancy.
Therefore, option C is the most appropriate choice as it correctly identifies signs that strongly suggest the presence of pregnancy.
Question 5 of 5
Which site is preferred for giving an IM injection to a newborn?
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis. This site is preferred for giving an IM injection to a newborn because it has a large muscle mass and is easily accessible. The vastus lateralis muscle is located on the lateral side of the thigh, making it a safe and effective site for administering injections in infants. It is important to avoid other sites like the ventrogluteal, rectus femoris, or dorsogluteal in newborns due to the risk of hitting nerves or blood vessels. The vastus lateralis is the most recommended site for IM injections in infants for safety and efficacy.