ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the progression of lochia flow from bright red to pinkish brown to creamy white over the course of about 21 days postpartum. This is important for the client to understand to monitor her recovery.
Choice A is incorrect as it does not specify the time frame for the color changes.
Choice B is incorrect because small clots are normal, but large clots or excessive clotting may indicate an issue.
Choice C is incorrect as saturation of the pad can vary, and it is the amount of bleeding that is more concerning for postpartum hemorrhage.
Question 2 of 5
A client at 33 weeks gestation is admitted for suspected abruptio placenta. Which factor in the client's history supports this diagnosis? The client states that she:
Correct Answer: D
Rationale: The correct answer is D: used crack an hour before the symptoms began. Abruptio placenta is a serious condition where the placenta separates from the uterine wall before the baby is born. Crack cocaine is a known risk factor for abruptio placenta due to its vasoconstrictive effects, which can lead to reduced blood flow to the placenta and potentially cause it to separate. The other choices do not directly relate to abruptio placenta.
Choice A may be concerning for fetal alcohol syndrome, but it does not support abruptio placenta.
Choice B describes Braxton Hicks contractions, which are normal in pregnancy.
Choice C is a common occurrence and not typically associated with abruptio placenta.
Therefore, choice D is the most relevant factor supporting the diagnosis of abruptio placenta in this scenario.
Question 3 of 5
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 can cause complications during pregnancy, such as fetal anemia. An ultrasound can help monitor the fetus's growth, development, and possible signs of anemia. Administering antiviral medication (
A) is not typically recommended for parvovirus B19. Administering Haemophilus influenza type b vaccine (
C) is unrelated to the situation. Scheduling an indirect Coombs’ test (
D) is used to detect antibodies that could cause hemolytic disease in the newborn, which is not directly related to parvovirus B19 in the prenatal client.
Question 4 of 5
In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart?
Correct Answer: A
Rationale: Squatting is a compensatory mechanism that decreases venous return (deoxygenated blood) to the heart. This clinical sign is commonly seen in young children with Tetralogy of Fallot, a type of cyanotic heart disease. Squatting helps reduce the workload on the heart by decreasing the amount of deoxygenated blood returning to it.
Question 5 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A, "Apical." This approach involves listening to the heart rate using a stethoscope placed over the apex of the heart. This method is most accurate for infants as it directly measures the heart's contractions. Radial (
B), ulna (
C), and brachial (
D) methods primarily measure peripheral pulses and may not accurately reflect the infant's heart rate due to potential delays in the transmission of the pulse from the heart to the peripheral arteries.
Therefore, apical auscultation is the preferred method for accurate heart rate measurement in infants.