ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 of 5
A nurse is monitoring a child whose parents are suspected of child neglect. Which of the following is an expected finding of neglect?
Correct Answer: A
Rationale: The correct answer is A: Lack of required immunizations. Neglect refers to the failure to provide for a child's basic needs, including healthcare. Lack of immunizations puts the child at risk for preventable diseases, indicating neglect. Parental lack of education (
B) or being in a lower socioeconomic group (
C) do not directly indicate neglect. Faded clothing with large shoes (
D) may suggest financial difficulties but does not necessarily indicate neglect.
Question 3 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers. Which of the following should the nurse include?
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is essential to prevent accidental poisoning in preschoolers. This ensures that parents and caregivers can easily identify hazardous substances and take appropriate precautions. Removing labels can lead to confusion and accidental ingestion.
Incorrect choices:
A: Syrup of ipecac is no longer recommended for home use as it can do more harm than good.
B: Teaching children to cook plants before eating them does not address the immediate danger of accidental poisoning.
D: Placing medications above the sink does not guarantee safety as children can still access them easily.
In summary, choice C is the most effective preventive measure among the options provided.
Question 4 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.
Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.
Question 5 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.