ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nurse notices a variable deceleration on a fetal monitor strip. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Turn the woman onto her left side to relieve pressure on the umbilical cord. Variable decelerations are often caused by umbilical cord compression. Turning the mother onto her left side helps to alleviate this pressure and improve blood flow to the baby. This position change can lead to an improvement in fetal heart rate patterns.
Option A is incorrect because variable decelerations are not caused by hyperventilation. Option B is incorrect because decreasing Pitocin may not address the underlying issue of umbilical cord compression. Option D is incorrect because reducing fluids does not address the cause of variable decelerations.
Question 2 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D: eliminate organisms that might initiate acute renal failure or rheumatic fever. Strep throat is caused by Group A Streptococcus bacteria, which if left untreated, can lead to serious complications such as acute renal failure or rheumatic fever. Completing the entire course of antibiotics is crucial to completely eradicate the bacteria and prevent these complications.
A: Alleviate painful swallowing does not directly address the potential serious complications associated with untreated strep throat.
B: Preventing sinusitis or abscess formation is important but not directly related to the severe complications of acute renal failure or rheumatic fever.
C: Reducing the risk of anterior cervical lymphadenopathy is a symptom of strep throat but not as critical as preventing the life-threatening complications mentioned in the correct answer.
Question 3 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
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 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.