ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nurse midwife is concerned about a pregnant client who is suspected of having a TORCH infection. Which is the main reason TORCH infections are grouped together? They are:
Correct Answer: C
Rationale: The correct answer is C because TORCH infections (
Toxoplasmosis, Other agents, Rubella, Cytomegalovirus, Herpes simplex virus) are grouped together due to their ability to infect the fetus during pregnancy. These infections can lead to serious complications for the developing fetus, such as congenital anomalies, neurodevelopmental delays, and even fetal death.
Choice A is incorrect as TORCH infections can be harmful to both the woman and the fetus.
Choices B and D are incorrect because TORCH infections are not primarily sexually transmitted or transmitted by vectors but can be transmitted vertically from the mother to the fetus.
Question 2 of 5
Which method of temperature regulation would safely and effectively prevent cold stress in a newly delivered infant?
Correct Answer: C
Rationale: The correct answer is C: Cover the baby's head with a hat. Newborns lose heat through their heads rapidly, so covering the head with a hat helps retain body heat. A hat is more effective in preventing cold stress compared to wrapping the baby loosely with a blanket (
A), ensuring the baby's feet are covered (
B), or positioning the baby on a heating pad (
D) because these methods may not specifically target heat loss through the head. Overall, covering the baby's head with a hat is a safe and effective method to prevent cold stress in a newly delivered infant.
Question 3 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed any bloody show or fluid coming from your vagina?" This question is important to assess for true labor because bloody show or fluid leakage can indicate ruptured membranes, which is a sign of true labor. This information helps differentiate between true labor and false labor. The other options are not directly related to distinguishing between true and false labor. Option A focuses on the timing of contractions, which is important but not specific to differentiating true from false labor. Option C inquires about the effect of movement on contractions, which is relevant but not as indicative as the presence of bloody show or fluid. Option D is about fetal movement, which is important for monitoring fetal well-being but does not help differentiate true labor from false labor.
Question 4 of 5
Which assessment finding indicates that placental separation has occurred during the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D: Lengthening of the umbilical cord. This is indicative of placental separation because as the placenta detaches from the uterine wall, the cord lengthens due to the release of tension. This signals successful completion of the third stage of labor.
Incorrect choices:
A: Decreased vaginal bleeding is not a reliable indicator of placental separation.
B: Contractions stopping may occur after the placenta is delivered, but it is not a definitive sign of placental separation.
C: Maternal shaking and chills can be caused by various factors and are not specific to placental separation.
Question 5 of 5
A client in preterm labor is admitted to the hospital. Which classification of drugs should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A:
Tocolytics.
Tocolytics are drugs that inhibit uterine contractions and are commonly used to delay preterm labor. They help prevent premature birth by giving time for other interventions to take place. Anticonvulsants (
B) are used to control seizures and are not indicated for preterm labor. Glucocorticoids (
C) are used to accelerate fetal lung maturation, not to delay labor. Anti-infective drugs (
D) are used to treat infections, not to stop preterm labor. In this scenario, tocolytics are the most appropriate choice to address the client's situation.