ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The nursery nurse reviews a newborn's birth history and notes that the Apgar scores were 5 at one minute after birth, and 7 at five minutes after birth. How should the nurse interpret these scores? The infant:
Correct Answer: D
Rationale: The correct answer is D: Required physical stimulation and supplemental oxygen. Apgar scores are used to quickly assess a newborn's overall condition at birth. A score of 5 at one minute and 7 at five minutes indicate the infant needed some assistance but not extensive resuscitation. The low scores may have been due to factors like mild respiratory distress or muscle tone.
Therefore, the appropriate intervention would be physical stimulation to help the infant respond and supplemental oxygen to support breathing.
Choice A is incorrect as brief oral and nasal suctioning would not address the underlying issues indicated by the Apgar scores.
Choice B is incorrect as endotracheal intubation and bagging are more aggressive interventions typically reserved for severe respiratory distress.
Choice C is incorrect as the infant was not stillborn and did not require CPR based on the Apgar scores.
Question 2 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 3 of 5
Which is a major difference in the clinical manifestation of adolescents with anorexia nervosa compared to bulimia?
Correct Answer: C
Rationale: The major difference between adolescents with anorexia nervosa and those with bulimia is body image distortion. Clients with anorexia see themselves as being overweight no matter how underweight they become. Clients with bulimia see their weight realistically but have psychological problems that manifest in an eating disorder. Both disorders may involve binge eating and purging, but body image perception is a distinguishing factor.
Question 4 of 5
Which site is preferred for giving an IM injection to a newborn?
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis. This site is preferred for giving an IM injection to a newborn because it has a large muscle mass and is easily accessible. The vastus lateralis muscle is located on the lateral side of the thigh, making it a safe and effective site for administering injections in infants. It is important to avoid other sites like the ventrogluteal, rectus femoris, or dorsogluteal in newborns due to the risk of hitting nerves or blood vessels. The vastus lateralis is the most recommended site for IM injections in infants for safety and efficacy.
Question 5 of 5
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because removing the condom 30 minutes after intercourse is incorrect. Condoms should be removed immediately after ejaculation to prevent spillage.
Choice A is correct as condoms should be put on when the penis is erect.
Choice C is also correct as leaving a space at the tip prevents breakage.
Choice D is incorrect as spermicidal gels can increase the risk of irritation without necessarily increasing effectiveness.