ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nursery nurse delays the first bottle feeding of a newborn. Which is the most common reason for the nurse's actions? The infant has:
Correct Answer: B
Rationale: The correct answer is B: a respiratory rate above 60. A newborn with a respiratory rate above 60 may indicate respiratory distress, necessitating immediate evaluation before feeding to prevent aspiration. Delaying feeding allows for assessment and intervention if needed. Blood glucose level of 45 gm/dL (
A) is low but not typically a reason to delay feeding in a newborn. Blue hands and feet (
C) may suggest poor circulation but do not directly impact feeding. A heart murmur (
D) may require monitoring but is not a common reason to delay the first feeding.
Question 2 of 5
A client who is 37 weeks gestation comes to the office for a routine visit. This is the client's first baby and she asks the nurse how she will know when labor begins. Which signs indicate that true labor has begun?
Correct Answer: D
Rationale: The correct answer is D. Expulsion of pink-tinged mucous and contractions that start in the lower back are signs of true labor. Pink-tinged mucous, also known as bloody show, indicates cervical changes. Contractions starting in the lower back and radiating to the abdomen are characteristic of true labor. A: Contractions that are irregular and decrease in intensity when walking are signs of false labor. B: Abdominal pain starting at the fundus and progressing to the lower back is not a specific sign of true labor. C: Increased pressure on the bladder and urinary frequency are common in late pregnancy but not specific to true labor.
Question 3 of 5
A nurse is reinforcing teaching with the parent of an infant who has club feet with bilateral casts.
Correct Answer: A
Rationale: The correct answer is A: "Check the toes for any swelling or discoloration." This is correct because it is crucial to monitor for signs of complications such as impaired circulation in the toes due to the cast. Swelling or discoloration could indicate a problem that needs immediate attention.
Choice B is incorrect because monthly recasting is not the standard treatment for club feet with bilateral casts.
Choice C is incorrect because using a heated fan or dryer can cause burns or skin irritation to the infant's delicate skin under the cast.
Choice D is incorrect because giving Tylenol every 4 hours without consulting a healthcare provider may not be necessary or safe for the infant.
Overall, choice A is the most appropriate as it focuses on monitoring the infant's toes for any potential issues and taking appropriate action if needed.
Question 4 of 5
Which treatment is a nursing priority when providing care for an infant diagnosed with bacterial meningitis?
Correct Answer: D
Rationale: The first nursing priority is the implementation of antibiotic therapy, which prohibits the microbial damage to the neurologic system through the cerebral spinal fluid. Immediate treatment with antibiotics can prevent serious complications such as death, deafness, reduced cognitive ability, and seizures.
Question 5 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.