ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Immediately after birth, the nurse places the newborn under a radiant warmer. Which is the primary rationale for the nurse's action?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate an efficient means of thermoregulation. Placing the newborn under a radiant warmer helps prevent hypothermia by providing a controlled environment to maintain the baby's body temperature. This is crucial as newborns are at risk for heat loss due to their immature thermoregulatory systems.
Choice B is incorrect as initial assessment can be done without the need for a radiant warmer.
Choice C is incorrect as a cardiac monitor is not typically needed immediately after birth unless there are specific indications.
Choice D is incorrect as the primary focus should be on the newborn's well-being rather than family observation at this point.
Question 2 of 5
A nurse is caring for a 3-year-old child with strabismus. Which of the following actions should the nurse advise the parents to implement to help prevent amblyopia?
Correct Answer: C
Rationale: The correct answer is C: Patch the strong eye. Patching the strong eye helps improve vision in the weaker eye, which is essential in preventing amblyopia. By covering the strong eye, the brain is forced to rely on the weaker eye, strengthening its visual acuity. Wearing corrective biconcave lenses may help with refractive errors but does not directly address amblyopia prevention. Preventing trauma to the eyes is important for overall eye health but does not specifically target amblyopia prevention. Instilling artificial tears is used for dry eye syndrome and does not play a role in preventing amblyopia.
Question 3 of 5
A client delivered two days ago and is suspected of having postpartum 'blues.' Which symptoms confirm the diagnosis?
Correct Answer: A
Rationale: The correct answer is A. Uncontrollable crying and insecurity are common symptoms of postpartum blues, which typically occur within the first two weeks after childbirth. This emotional response is considered normal and does not usually require treatment.
Choice B is incorrect as depression and suicidal thoughts are more indicative of postpartum depression, a more severe condition.
Choice C is incorrect as the sense of inability to care for the family and extreme anxiety are symptoms of postpartum anxiety disorder, not postpartum blues.
Choice D is incorrect as nausea and vomiting are not typically associated with postpartum blues.
Question 4 of 5
A nurse is caring for a child with muscular dystrophy. Which of the following priority actions should the nurse include in the care of this child?
Correct Answer: D
Rationale: The correct answer is D: Have the child use an incentive spirometer and perform breathing exercises routinely. This is the priority action because children with muscular dystrophy are at risk for respiratory complications due to weakened respiratory muscles. Using an incentive spirometer and performing breathing exercises help maintain lung function and prevent respiratory infections.
A: Limiting physical activity and planning rest periods is important, but respiratory care takes precedence in muscular dystrophy.
B: Genetic counseling is important for family planning but does not directly impact the child's care.
C: Advising against vaccines can increase the risk of infections in a child with compromised respiratory function.
E, F, G: No information provided.
Question 5 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bruising. By inspecting the skin daily, the nurse can promptly identify any lesions or signs of bleeding, allowing for timely intervention to prevent complications.
A: "Provide a diet high in carbohydrates" - This choice is incorrect as it is not directly related to managing myelosuppression or skin lesions in this case.
B: "Monitor rectal temperature every 4 hr" - While monitoring temperature is important, it is not specifically related to managing skin lesions caused by myelosuppression.
C: "Use lemon or glycerin swabs for oral care" - Oral care is important for overall health but does not directly address the risk of skin lesions associated with myelosuppression.