ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The parents of a 4-year-old child state that they had an infant die 2 months ago during childbirth.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the child's understanding of cause and effect, indicating cognitive development typical for a 4-year-old. The child's belief that their wish caused the baby's death aligns with the concept of magical thinking at this age.
Choices A and B show normal curiosity and coping mechanisms.
Choice C indicates possible signs of anxiety but does not directly address the child's understanding of the situation.
Question 2 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 3 of 5
A labor and delivery nurse suspects that a client is in the transition stage of labor. Which information supports this conclusion? The client is:
Correct Answer: B
Rationale: The correct answer is B: irritable and needs frequent repetition of directions. This behavior is indicative of the transition stage of labor, which is the most intense phase characterized by strong contractions and nearing full dilation. The client's irritability and need for repeated directions suggest she is experiencing intense pain and discomfort, typical of this stage.
Incorrect choices:
A: Walking around and talking may occur in early labor but not indicative of transition.
C: Expelling feces and fetal head crowning indicate the pushing stage, not transition.
D: Reading a magazine and talking on the phone are unlikely behaviors during transition due to the intensity of contractions.
Question 4 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.
Question 5 of 5
Which information is most important for the nurse to gather when a client is admitted to the unit in labor?
Correct Answer: B
Rationale: The correct answer is B: Medical problems or complications. This information is crucial for assessing potential risks during labor and ensuring appropriate care. Knowing the client's medical history helps the nurse anticipate and address any complications that may arise. Other choices like A, C, and D are important but not as critical as medical problems or complications. The support person's name (
A) is important for emotional support, fluid preferences (
C) can be addressed later, and weight gain during pregnancy (
D) is relevant but does not impact immediate care during labor.