ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The physician performs an amniotomy for a woman in labor. Which nursing action should follow the procedure?
Correct Answer: D
Rationale: The correct answer is D: Assess the fluid for color, odor, and amount. After an amniotomy, it is crucial to assess the amniotic fluid to ensure it is clear, odorless, and of the correct amount, which indicates normal fetal well-being. This assessment helps in identifying any potential issues such as meconium staining or infection. This nursing action directly follows the procedure and is essential for monitoring the health of both the mother and the baby. Checking capillary refill and oxygenation (
A) is important but not directly related to the amniotomy procedure. Monitoring maternal pulse and blood pressure (
B) is also important but not the immediate next step after amniotomy. Inspecting the perineum (
C) is necessary but not the priority following amniotomy.
Question 2 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 3 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 4 of 5
A client in active labor receives a regional anesthetic. Which is the main purpose of regional anesthetics?
Correct Answer: B
Rationale: The correct answer is B:
To provide general loss of sensation by blocking sensory nerves to an area. Regional anesthetics work by blocking nerve impulses in a specific area, resulting in loss of sensation while the client remains conscious. This is ideal for labor as it allows pain relief without affecting consciousness or motor function.
Choice A is incorrect because regional anesthetics do not alter consciousness levels.
Choice C is incorrect as it refers to the mechanism of action of opioids, not regional anesthetics.
Choice D is incorrect as regional anesthetics act locally at the nerve level, not in the brain.
Question 5 of 5
A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics.
Correct Answer: D
Rationale: The correct answer is D: eliminate organisms that might initiate acute renal failure or rheumatic fever. Strep throat is caused by Group A Streptococcus bacteria, which if left untreated, can lead to serious complications such as acute renal failure or rheumatic fever. Completing the entire course of antibiotics is crucial to completely eradicate the bacteria and prevent these complications.
A: Alleviate painful swallowing does not directly address the potential serious complications associated with untreated strep throat.
B: Preventing sinusitis or abscess formation is important but not directly related to the severe complications of acute renal failure or rheumatic fever.
C: Reducing the risk of anterior cervical lymphadenopathy is a symptom of strep throat but not as critical as preventing the life-threatening complications mentioned in the correct answer.