ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
What is the main cause of mastitis in the postpartum client?
Correct Answer: A
Rationale: The correct answer is A: Poor breastfeeding technique. Mastitis is mainly caused by milk stasis due to inadequate milk removal caused by poor latching or positioning during breastfeeding. This leads to inflammation and infection. Inadequate hand washing (
B) may contribute to infection but is not the main cause. Systemic maternal infection (
C) is a possible complication of mastitis, not the main cause. Prolonged nursing (
D) is not a direct cause of mastitis but can be a contributing factor if the baby does not effectively remove milk.
Question 2 of 5
Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. After delivery, the uterus should be firm and midline to facilitate uterine contractions and prevent excessive bleeding.
2. A soft, boggy uterus may indicate uterine atony, which can lead to postpartum hemorrhage.
3. A full bladder can impede uterine contractions by displacing the uterus and preventing it from contracting effectively.
4. By encouraging the client to void, the nurse helps ensure that the bladder is not obstructing the uterus, promoting proper uterine involution and preventing complications.
Summary of Incorrect
Choices:
B: Overdistended bladder pressing on episiotomy may cause dehiscence, but this is not the primary concern in this scenario.
C: Bladder distention causing urinary stasis and infection is a potential complication, but it is not directly related to uterine contractions.
D: Massaging the fundus can be helpful but addressing the full bladder is a priority
Question 3 of 5
A child diagnosed with asthma begins corticosteroid treatments. The nurse explains to the parents that the purpose of corticosteroid treatment is to produce which therapeutic effect?
Correct Answer: D
Rationale: Corticosteroid usage is common for decreasing inflammation of the bronchial airways. While dilation of bronchial airways and decrease in bronchospasms are effects of other medications like albuterol and beta-2 agonists, corticosteroids specifically target inflammation, which is a key component in managing chronic asthma.
Question 4 of 5
A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
Correct Answer: B
Rationale: The correct answer is B:
To locate a pocket of fluid. Before performing an amniocentesis procedure, the nurse needs to ensure there is an adequate pocket of amniotic fluid to safely collect the sample. An ultrasound is necessary to visualize and locate this pocket of fluid to avoid injuring the fetus. Estimating fetal weight (
Choice
A) is not necessary for an amniocentesis. Determining multiparity (
Choice
C) is unrelated to the procedure. Pre-screening for fetal anomalies (
Choice
D) is not the primary purpose of the ultrasound in this context.
Question 5 of 5
The nurse performs Leopold's maneuvers for a client admitted in labor. Which is the main goal of Leopold's maneuvers?
Correct Answer: D
Rationale: The correct answer is D:
To determine the presentation and position of the fetus. Leopold's maneuvers involve palpating the abdomen to assess the fetal position, presentation, and lie.
Step 1 determines which fetal part is in the upper abdomen (head or buttocks), step 2 determines the location of the back, step 3 identifies the presenting part and its mobility, and step 4 determines the descent of the fetal head into the pelvis. This helps the nurse understand the fetal position for appropriate labor management.
Choices A, B, and C are incorrect because Leopold's maneuvers do not directly assess cervical dilation, contraction frequency, intensity, or rupture of membranes.