ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
For a client in the second trimester of pregnancy, which assessment data support a diagnosis of pregnancy-induced hypertension (PIH)?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 168/110 and 3+ proteinuria. In pregnancy-induced hypertension (PIH), elevated blood pressure (hypertension) and proteinuria are key diagnostic criteria. A blood pressure reading of 168/110 is significantly elevated and indicates hypertension. Proteinuria, indicated by 3+ protein in the urine, is a common sign of PIH due to impaired kidney function. Hemoglobin level, uterine tenderness, polyuria, weight loss, hematuria, and blood glucose levels are not specific to PIH. Hemoglobin level and weight loss may indicate anemia or inadequate weight gain in pregnancy. Polyuria could be due to hormonal changes. Hematuria may suggest urinary tract infection or kidney stones. High blood glucose levels may indicate gestational diabetes.
Question 2 of 5
A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, 'When will my child get the next dose of MMR vaccine?' Which is the correct response by the nurse?
Correct Answer: D
Rationale: A second MMR, often called a booster, will be needed when the child enters middle school at age eleven or twelve years of age. This ensures full immunity from the diseases covered by the MMR vaccine.
Question 3 of 5
A nurse is reinforcing teaching given to the parent of a 1-year-old child who has had a high temperature, vomiting, and diarrhea for 48 hr. The child has sunken eyes and cracked lips. Which of the following should the nurse tell the parent?
Correct Answer: C
Rationale: Oral rehydration solutions effectively replace fluids and electrolytes lost due to vomiting and diarrhea.
Question 4 of 5
A client who is 37 weeks gestation comes to the office for a routine visit. This is the client's first baby and she asks the nurse how she will know when labor begins. Which signs indicate that true labor has begun?
Correct Answer: D
Rationale: The correct answer is D. Expulsion of pink-tinged mucous and contractions that start in the lower back are signs of true labor. Pink-tinged mucous, also known as bloody show, indicates cervical changes. Contractions starting in the lower back and radiating to the abdomen are characteristic of true labor. A: Contractions that are irregular and decrease in intensity when walking are signs of false labor. B: Abdominal pain starting at the fundus and progressing to the lower back is not a specific sign of true labor. C: Increased pressure on the bladder and urinary frequency are common in late pregnancy but not specific to true labor.
Question 5 of 5
A nurse is caring for a child with acute glomerulonephritis. The child has edema, hypertension, and gross hematuria. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Weigh the child daily and record intake and output. This intervention is crucial in monitoring fluid balance and kidney function in a child with acute glomerulonephritis. Daily weights help assess for fluid retention, while intake and output measurements help evaluate kidney function. Edema, hypertension, and gross hematuria are key symptoms of this condition, indicating the need for close monitoring.
Choice A is incorrect because monitoring oxygen saturation is not directly related to the management of acute glomerulonephritis.
Choice B is also incorrect as dietary restrictions regarding protein are not the priority in this situation.
Choice D is incorrect as counseling about follow-up is important but not the most immediate intervention needed.