ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
During the postpartum period, a hospitalized client complains of discomfort related to her episiotomy. The nurse assigns the diagnosis of 'pain related to perineal sutures.' Which nursing intervention is most appropriate during the first 24 hours following an episiotomy?
Correct Answer: D
Rationale: The correct answer is D: Apply ice packs to the perineum. This intervention helps reduce swelling, inflammation, and provides pain relief by numbing the area. Ice constricts blood vessels, reducing blood flow to the area, which can minimize pain and discomfort. Ice packs should be applied for short periods, typically 20 minutes on and 20 minutes off, to prevent skin damage. This intervention is most appropriate during the first 24 hours post-episiotomy as it helps manage acute pain and promotes healing.
Other choices are incorrect:
A: Using petroleum jelly can increase the risk of infection and hinder wound healing.
B: Kegel exercises focus on pelvic floor muscle strength and do not directly address pain related to perineal sutures.
C: Sitz baths are beneficial for promoting healing but may not provide immediate pain relief like ice packs.
Question 2 of 5
A nurse is performing a routine physical examination on an adolescent client who asks, 'Why do I have to use a condom if my girlfriend is on the pill?' Which of the following is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D. The nurse should explain that while oral contraceptives are highly effective in preventing pregnancy, they do not protect against sexually transmitted diseases (STDs). This is important because even if the girlfriend is on the pill, using a condom is necessary to prevent STD transmission. Adolescents are at higher risk for STDs, so it is crucial to emphasize the importance of dual protection.
Choice A is incorrect as it does not specifically address the risk of STD transmission.
Choice B is incorrect because it focuses on shared responsibility rather than the health implications of using a condom.
Choice C is incorrect as it emphasizes the effectiveness of oral contraceptives rather than the need for STD protection.
Question 3 of 5
A 38 week gestation newborn weighs 4020 grams, is sluggish, and has limp muscle tone. The baby experienced a broken clavicle during delivery. Based on this information, which can the nurse conclude about the baby?
Correct Answer: B
Rationale: The correct answer is B: Large for gestational age. A newborn weighing 4020 grams at 38 weeks is above the 90th percentile, indicating macrosomia or being large for gestational age. The sluggishness and limp muscle tone can be attributed to the baby's size. A broken clavicle during delivery is common in larger babies due to difficulty in passing through the birth canal. Neonatal abstinence symptoms (
A) are related to drug withdrawal, not indicated here. Congenital cardiac defects (
C) typically do not present with these symptoms. Respiratory depression (
D) is more likely in preterm infants or those with perinatal asphyxia.
Question 4 of 5
Which of the following physical manifestations of a client with anorexia nervosa best indicates compliance with the treatment plan of care?
Correct Answer: A
Rationale: The correct answer is A: "A weekly weight gain of 1 kg (2.2 lb)". In anorexia nervosa, weight restoration is a crucial goal. A weekly weight gain of 1 kg indicates compliance with the treatment plan as it shows the client is consuming an adequate amount of calories and nutrients. This is essential for reversing the physical effects of malnutrition.
Choices B, C, and D are incorrect because soft bowel movements, return of regular menstrual periods, and improvement of oral mucosa, while important indicators of health, do not directly reflect compliance with the treatment plan in anorexia nervosa. Weight gain is a key marker of nutritional rehabilitation and recovery in individuals with anorexia nervosa.
Question 5 of 5
A nurse is discussing nutrition with an adolescent who is pregnant.
Correct Answer: A
Rationale: Rationale for Correct Answer A:
This answer is correct because it emphasizes the importance of calories for energy and nutrition during pregnancy. Adequate calorie intake is crucial for the health of both the mother and the developing baby. By stating that any calories ingested are a source of energy and nutrition, the nurse is promoting a balanced approach to nutrition during pregnancy.
Summary of Incorrect
Choices:
B: While it is important to provide foods rich in calcium, protein, and iron during pregnancy, this choice does not address the overall importance of calories for energy and nutrition.
C: Encouraging between-meal snacks that are complex carbohydrates and fruits is beneficial, but it does not highlight the significance of overall calorie intake.
D: Planning meals and snacks for additional calories in the second and third trimester is important, but this choice does not emphasize the fundamental role of calories in nutrition during pregnancy.