ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
When planning for the care of an infant experiencing neonatal abstinence syndrome, which nursing assessment is most important?
Correct Answer: A
Rationale: The correct answer is A: The mother's ability to provide a safe environment. This is crucial because infants with neonatal abstinence syndrome require a stable and safe environment for their care. Assessing the mother's ability to create such an environment helps ensure the infant's safety and well-being. B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant. C is incorrect as the mother's ability to obtain treatment is secondary to the immediate need for a safe environment for the infant. D is incorrect as the severity of the infant's withdrawal, while important, does not address the preventive aspect of ensuring a safe environment.
Question 2 of 5
For a pregnant adolescent who is anemic, which foods should the nurse include in the client's dietary plan to increase iron levels?
Correct Answer: C
Rationale: The correct answer is C: Orange juice and apricots. Orange juice is a good source of vitamin C, which enhances iron absorption from plant-based foods like apricots. Apricots are rich in iron, helping to increase iron levels in the body. Milk and fish (choice
A) contain little iron. Chicken and cottage cheese (choice
B) are low in iron. Pickles and peanut butter sandwiches (choice
D) do not provide significant iron.
Question 3 of 5
With routine prenatal screening, a woman in the second trimester of pregnancy is confirmed to have gestational diabetes. How may the nurse explain the role of diet and insulin in the management of blood sugar during pregnancy?
Correct Answer: B
Rationale: The correct answer is B. During pregnancy, insulin helps lower elevated blood sugar levels to meet the increased metabolic needs of the baby. Gestational diabetes occurs due to the body's inability to produce enough insulin to manage the increased blood sugar levels during pregnancy. By taking insulin, the mother can ensure that her blood sugar levels are controlled, reducing the risk of complications for both her and the baby. Oral hypoglycemics (choice
A) are not recommended during pregnancy due to potential risks to the baby.
Choice C is incorrect because gestational diabetes typically resolves after pregnancy. Eating three large meals (choice
D) can lead to fluctuations in blood sugar levels, which is not ideal for managing gestational diabetes.
Question 4 of 5
A client, gravida 1, para 0, in active labor, is becoming increasingly anxious. Which statement by the nurse will block therapeutic communication with the client?
Correct Answer: C
Rationale: The correct answer is C: "Everything is going just fine." This statement blocks therapeutic communication by invalidating the client's feelings of anxiety. It dismisses the client's emotions and fails to address their concerns.
Choice A and B encourage the client to express their feelings and concerns, promoting open communication.
Choice D acknowledges the client's emotions and opens the door for further discussion. Overall, C is incorrect as it shuts down the client's expression of anxiety.
Question 5 of 5
An hour after delivery, the nurse instills erythromycin (Ilotycin) ointment into the eyes of a newborn. The main objective of the treatment is to prevent infection caused by which organism?
Correct Answer: B
Rationale: The correct answer is B: Gonorrhea. Erythromycin ointment is used to prevent ophthalmia neonatorum, an eye infection in newborns caused by Neisseria gonorrhoeae, the bacteria responsible for gonorrhea. This infection can lead to blindness if left untreated. Rubella, Syphilis, and HIV are not prevented by erythromycin ointment. Rubella is a viral infection, syphilis is caused by Treponema pallidum bacteria, and HIV is a retrovirus.
Therefore, the main objective of the treatment is to prevent gonorrhea infection in the newborn's eyes.