ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nurse performs Leopold's maneuvers for a client admitted in labor. Which is the main goal of Leopold's maneuvers?
Correct Answer: D
Rationale: The correct answer is D:
To determine the presentation and position of the fetus. Leopold's maneuvers involve palpating the abdomen to assess the fetal position, presentation, and lie.
Step 1 determines which fetal part is in the upper abdomen (head or buttocks), step 2 determines the location of the back, step 3 identifies the presenting part and its mobility, and step 4 determines the descent of the fetal head into the pelvis. This helps the nurse understand the fetal position for appropriate labor management.
Choices A, B, and C are incorrect because Leopold's maneuvers do not directly assess cervical dilation, contraction frequency, intensity, or rupture of membranes.
Question 2 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the progression of lochia flow from bright red to pinkish brown to creamy white over the course of about 21 days postpartum. This is important for the client to understand to monitor her recovery.
Choice A is incorrect as it does not specify the time frame for the color changes.
Choice B is incorrect because small clots are normal, but large clots or excessive clotting may indicate an issue.
Choice C is incorrect as saturation of the pad can vary, and it is the amount of bleeding that is more concerning for postpartum hemorrhage.
Question 3 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 4 of 5
A 6-year-old child is brought to the emergency department after falling down the outdoor steps. The parent's account of the incident appears different than the neighbor's account of the incident. Upon questioning the child, the nurse should recognize which of the following as usual pattern of behavior exhibited by an abused child?
Correct Answer: B
Rationale: Abused children often repeat their parents' stories to avoid implicating them.
Question 5 of 5
A nurse is assessing a newborn following a circumcision. Which of the following should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. This is because chin quivering is a common sign of pain in newborns following circumcision. It indicates discomfort or distress. Decreased heart rate (
A), pinpoint pupils (
C), and slowed respirations (
D) are not typical indicators of pain in newborns. A decrease in heart rate and slowed respirations may suggest relaxation or a calming response, while pinpoint pupils may indicate a different issue such as opioid overdose.