ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 2 of 5
A multiparous woman with a history of all vaginal births is admitted to the hospital in labor. After several hours, the client's labor has not progressed and she is getting tired and restless. The decision is made to proceed with cesarean delivery. The nurse recognizes the client's knowledge deficit regarding the surgical delivery and care after birth. Which is the appropriate expected outcome for correction of the client's knowledge deficit? The client will:
Correct Answer: C
Rationale:
Rationale: Option C is correct because the client verbalizing understanding about the reason for the unplanned surgery indicates that the client acknowledges the necessity of the cesarean delivery. This outcome is crucial for informed decision-making and psychological preparation. This knowledge empowers the client to participate in her care effectively. Option A is incorrect because coping mechanisms are important but not the primary outcome related to knowledge deficit correction. Option B is incorrect as bonding may be affected by the type of delivery and is not directly related to knowledge deficit correction. Option D is incorrect as decreased anxiety and fear are important outcomes but do not address the client's specific knowledge deficit.
Question 3 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 4 of 5
A nurse is preparing a room for the admission of a client with sickle cell anemia who is in vasoocclusive crisis. Which type of equipment should the nurse place in the client's room?
Correct Answer: D
Rationale: The correct answer is D: Blood transfusion equipment. During a vasoocclusive crisis in sickle cell anemia, there is a blockage in blood vessels leading to severe pain and tissue damage. Blood transfusions may be necessary to improve oxygen delivery to tissues and alleviate symptoms. Having blood transfusion equipment readily available in the client's room allows for prompt intervention if needed.
A: Wheelchair with adjustable leg rests - Not directly related to managing vasoocclusive crisis.
B: A radio and age-appropriate reading materials - Entertainment items, not essential for crisis management.
C: Extra blankets and pillows - Provide comfort but do not address the underlying cause of the crisis.
In summary, the focus during a vasoocclusive crisis in sickle cell anemia should be on interventions that directly address the physiological needs of the client, such as blood transfusion equipment.
Question 5 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A, "Apical." This approach involves listening to the heart rate using a stethoscope placed over the apex of the heart. This method is most accurate for infants as it directly measures the heart's contractions. Radial (
B), ulna (
C), and brachial (
D) methods primarily measure peripheral pulses and may not accurately reflect the infant's heart rate due to potential delays in the transmission of the pulse from the heart to the peripheral arteries.
Therefore, apical auscultation is the preferred method for accurate heart rate measurement in infants.