ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The parents of a 5-month-old infant state that their infant seems to eat very little. Most of the food comes out of the infant's mouth and onto his clothes.
Correct Answer: D
Rationale: The correct answer is D because at 5 months, infants are typically ready to start solids but may still have the tongue-thrust reflex. Placing food in the back of the baby's mouth using a long-handled spoon helps bypass this reflex and encourages swallowing. This method allows for better control of the food placement in the mouth, reducing the likelihood of the food being pushed out.
Choice A is incorrect as giving a bottle of formula before solid food may not address the issue of the baby spitting out food.
Choice B is incorrect as stopping solids until 12 months may delay important developmental milestones.
Choice C is incorrect as putting cereal in a bottle can pose a choking hazard and does not address the underlying issue.
Question 2 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 3 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a potential adverse effect due to hormonal changes. This is important for the nurse to include in teaching to monitor for mental health changes. Polyuria (
B), hypotension (
C), and urticaria (
D) are not typically associated with combined oral contraceptives. Polyuria is excessive urination, hypotension is low blood pressure, and urticaria is a skin rash, which are not commonly linked to this medication.
Question 4 of 5
Shortly after delivery, the nursery nurse gives the newborn an injection of phytonadione (Vitamin K). The infant's grandmother wants to know why the baby got 'a shot in his leg.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale:
Correct Answer: D - Vitamin K is used to prevent bleeding.
Rationale:
1. Newborns have low levels of Vitamin K, which is essential for blood clotting.
2. Injection helps prevent a rare but serious bleeding disorder called Vitamin K deficiency bleeding.
3. The injection is typically given in the thigh muscle for optimal absorption.
4. Other choices are incorrect as Vitamin K's main role in newborns is preventing bleeding, not promoting growth, aiding digestion, or stabilizing blood sugar.
Question 5 of 5
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply).
Correct Answer: A,B,C,D
Rationale: The correct answer includes options A, B, C, and D. A newborn's normal heart rate ranges from 120 to 160 beats per minute, so a heart rate of 154/min (option
A) is within the expected range. A normal axillary temperature for a newborn is 97.7-99.5 F, so a temperature of 96.8 F (option
B) is slightly lower but still within the normal range. A newborn's normal respiratory rate is 30-60 breaths per minute, so a rate of 58/min (option
C) falls within the expected range. The average length of a full-term newborn is around 50 cm, so a length of 43 cm (option
D) is within the typical range for a newborn. Options E, F, and G are incorrect as they are not within the expected clinical findings for a newborn.