ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which conditions create a risk for uterine atony in the immediate postpartum period?
Correct Answer: D
Rationale: The correct answer is D. Multiparity (having multiple previous pregnancies) and multiple gestation (carrying twins or more) increase the risk of uterine atony, which is the failure of the uterus to contract after childbirth. These conditions lead to uterine stretching and weakening, making it difficult for the uterus to contract effectively to control bleeding postpartum. Option A is incorrect because breastfeeding and chromosome defects do not directly influence uterine atony. Option B is incorrect as postterm birth and amniotomy during labor do not specifically contribute to uterine atony. Option C is incorrect as gestational diabetes and pregnancy-induced hypertension are not directly associated with uterine atony.
Question 2 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 3 of 5
A client delivered vaginally six hours ago. Which assessment finding can be interpreted as normal?
Correct Answer: A
Rationale: The correct answer is A: Temperature 100.0 degrees F. This can be interpreted as normal post-vaginal delivery. The rationale is that a slight increase in temperature up to 100.4 degrees F is common due to the stress of labor and delivery, known as postpartal fever. It is considered normal as long as it doesn't exceed 100.4 degrees F.
Choices B, C, and D are incorrect as a blood pressure of 140/90 is elevated, respirations of 10 are too low, and a pulse of 90 is higher than expected after delivery. Monitoring these vital signs is crucial post-delivery to ensure the client's well-being.
Question 4 of 5
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
Correct Answer: A
Rationale: The correct answer is A. Weak, ineffective suck and scalp edema may indicate a possible complication of the forceps delivery. Weak suck suggests potential nerve damage from the forceps, affecting the infant's ability to suck effectively. Scalp edema is a common complication due to the pressure exerted by the forceps during delivery, potentially leading to swelling and bruising. Molding of the head and jitteriness (
B) are common after vaginal delivery and not specific to forceps delivery. Shrill, high-pitched cry and tachypnea (
C) may indicate respiratory distress but are not directly related to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (
D) could be normal findings or related to other factors not specific to forceps delivery.
Question 5 of 5
A nurse is checking children at an orthopedic outpatient setting. Which of the following should the nurse expect to see as manifestations of scoliosis?
Correct Answer: B
Rationale: The correct answer is B: Uneven shoulder heights and poorly fitting slacks. In scoliosis, the spine curves sideways, leading to uneven shoulder heights as one shoulder may appear higher than the other. Additionally, the curvature can cause clothes to fit unevenly, such as poorly fitting slacks. This is due to the asymmetry of the spine alignment. The other choices are incorrect because:
A) Pain and exaggerated lumbar curvature are more indicative of other conditions like lordosis or kyphosis.
C) Tenderness and swelling of the spine are not typical symptoms of scoliosis.
D) Limited range of motion of the back and a limp are not primary manifestations of scoliosis.