ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
At 28 weeks gestation, a woman enters the hospital in preterm labor and receives atocolytic medication to stop labor. Which assessment findings should be reported immediately to the physician?
Correct Answer: D
Rationale: The correct answer is D: Ferning pattern of vaginal discharge under a microscope. This finding indicates rupture of membranes, which can lead to infection and endanger both the mother and the fetus. It is crucial to report this immediately to the physician for further assessment and management.
Choice A (Fetal heart rate averaging 160 beats/min) can be a normal finding in a preterm labor situation and does not indicate an urgent concern.
Choice B (Irregular contractions every 15-20 minutes that last 30 seconds before stopping) are not necessarily alarming as long as they are not progressing into active labor.
Choice C (Maternal vital signs within normal range) are also not immediate cause for concern.
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
Which is the recommended treatment for moderate to severe lead poisoning?
Correct Answer: C
Rationale: The heavy metal antagonist, edetate calcium disodium, is frequently the drug of choice for the removal of the lead toxin from the body. Chelating agents inactivate the toxicity of the lead and cause excretion through the urine. IV fluids, antiemetics, and antibiotics do not address the core issue of removing lead from the body.
Question 4 of 5
Which data support a diagnosis of abruptio placenta in a pregnant woman?
Correct Answer: A
Rationale: The correct answer is A: Uterine rigidity and abdominal pain. In abruptio placenta, the placenta detaches prematurely from the uterine wall, leading to uterine rigidity and intense abdominal pain due to blood accumulating behind the placenta. Painless bleeding with a soft abdomen (
Choice
B) is more indicative of placenta previa. Premature rupture of membranes and uterine contractions (
Choice
C) are signs of preterm labor or premature rupture of membranes, not specific to abruptio placenta. Bright red blood loss and elevated blood pressure (
Choice
D) are more consistent with conditions like placenta previa or preeclampsia.
Question 5 of 5
A nurse is monitoring a child whose parents are suspected of child neglect. Which of the following is an expected finding of neglect?
Correct Answer: A
Rationale: The correct answer is A: Lack of required immunizations. Neglect refers to the failure to provide for a child's basic needs, including healthcare. Lack of immunizations puts the child at risk for preventable diseases, indicating neglect. Parental lack of education (
B) or being in a lower socioeconomic group (
C) do not directly indicate neglect. Faded clothing with large shoes (
D) may suggest financial difficulties but does not necessarily indicate neglect.