ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 2 of 5
A postterm infant is delivered by cesarean section because of fetal distress and meconium-stained amniotic fluid. The nursery nurse frequently monitors the baby's respiratory rate, observing for tachypnea. Which is the reason for the nurse's actions? The infant may:
Correct Answer: B
Rationale: The correct answer is B: develop meconium aspiration pneumonia. Meconium-stained amniotic fluid can lead to meconium aspiration in the infant, which can cause respiratory distress and potentially lead to meconium aspiration pneumonia. The nurse is monitoring for tachypnea as a sign of respiratory distress, which could indicate the development of meconium aspiration pneumonia.
Choice A is incorrect because respiratory depression from medications used during delivery is not the primary concern in this scenario.
Choice C is incorrect as an elevated temperature is not directly related to meconium aspiration.
Choice D is incorrect because a pneumothorax related to delivery is not typically associated with meconium-stained amniotic fluid.
Question 3 of 5
Shortly after delivery, the nursery nurse gives the newborn an injection of phytonadione (Vitamin K). The infant's grandmother wants to know why the baby got 'a shot in his leg.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale:
Correct Answer: D - Vitamin K is used to prevent bleeding.
Rationale:
1. Newborns have low levels of Vitamin K, which is essential for blood clotting.
2. Injection helps prevent a rare but serious bleeding disorder called Vitamin K deficiency bleeding.
3. The injection is typically given in the thigh muscle for optimal absorption.
4. Other choices are incorrect as Vitamin K's main role in newborns is preventing bleeding, not promoting growth, aiding digestion, or stabilizing blood sugar.
Question 4 of 5
A client at ten weeks gestation tells the nurse that she has been having 'morning sickness.' The nurse advises the client to eat foods that are easy to digest and low in fat. Which is the rationale for the nurse's instruction?
Correct Answer: B
Rationale: The correct answer is B. A low-fat diet is digested faster and leaves less in the stomach that can be vomited. During pregnancy, hormonal changes can slow down digestion, leading to nausea and vomiting. By consuming foods that are low in fat, the client reduces the amount of time food stays in the stomach, decreasing the likelihood of vomiting.
Choice A is incorrect because a low-fat diet does not directly increase peristalsis.
Choices C and D are incorrect as they do not directly address the issue of reducing vomiting through faster digestion.
Question 5 of 5
During the first twelve hours following a normal vaginal delivery, the client voids 2,000 mL of urine. How should the nurse interpret this finding?
Correct Answer: D
Rationale: The correct interpretation is D: Normal diuresis after delivery. After childbirth, the body eliminates excess fluid accumulated during pregnancy, leading to increased urine output. This process, known as diuresis, helps to reduce swelling and prevent fluid retention. Voiding 2,000 mL of urine in the first 12 hours is within the expected range for postpartum diuresis.
A: Urinary tract infection - There are no symptoms or signs indicating a urinary tract infection.
B: High output renal failure - This condition is characterized by decreased urine output, not increased.
C: Excessive use of IV fluids during delivery - Excessive IV fluids would not lead to such significant diuresis immediately post-delivery.
In summary, the significant urine output post-vaginal delivery is indicative of normal postpartum diuresis, not any pathological condition.