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:
Step-by-step rationale for why choice D is correct:
1. Multiparity: Women who have had multiple pregnancies are at higher risk for uterine atony due to uterine muscle fatigue.
2. Multiple gestation: The presence of more than one fetus puts increased demands on the uterus, increasing the risk of uterine atony.
Summary of why other choices are incorrect:
- A: Breastfeeding and chromosome defects are not directly linked to uterine atony.
- B: Postterm birth and amniotomy do not inherently increase the risk of uterine atony.
- C: Gestational diabetes and pregnancy-induced hypertension are not specific risk factors for uterine atony.
Question 2 of 5
A client at ten weeks gestation tells the nurse that she has been having 'morning sickness.' The nurse advises the client to eat foods that are easy to digest and low in fat. Which is the rationale for the nurse's instruction?
Correct Answer: B
Rationale: The correct answer is B: A low-fat diet is digested faster and leaves less in the stomach that can be vomited. During pregnancy, hormonal changes can lead to morning sickness. Eating foods that are low in fat helps reduce the workload on the digestive system, allowing for quicker digestion. This means there is less food remaining in the stomach that could potentially trigger vomiting.
Therefore, advising the client to eat low-fat foods can help alleviate morning sickness symptoms.
A: Incorrect. While a low-fat diet may aid in digestion, it does not specifically increase peristalsis to reduce food volume in the stomach.
C: Incorrect. While easily digested foods can be beneficial, the primary focus in this scenario is on reducing fat intake for faster digestion.
D: Incorrect. The issue of cardiac sphincter relaxation and vomiting is not directly related to the advice given by the nurse.
Question 3 of 5
Which information is most important for the nurse to gather when a client is admitted to the unit in labor?
Correct Answer: B
Rationale: The correct answer is B: Medical problems or complications. This information is crucial for assessing the client's risk status and determining appropriate care during labor. Knowing the medical history helps identify potential complications that may arise and allows the nurse to plan for necessary interventions. Gathering information on the support person (choice
A) is important but not as critical as the client's medical history. Fluid preferences (choice
C) and weight gained during pregnancy (choice
D) are relevant but do not directly impact the immediate care needed during labor. Without additional choices provided, it is evident that medical problems or complications (choice
B) takes precedence in ensuring the safety and well-being of both the client and the baby.
Question 4 of 5
The nurse conducting a physical assessment notes that a 1-day-old newborn with dark skin has a bluish-gray discoloration over the lower back, the buttocks, and the scrotum. How should this assessment finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Mongolian spots. This finding is common in newborns with dark skin and appears as bluish-gray discoloration in areas like the lower back, buttocks, and scrotum. Mongolian spots are benign and typically fade over time. Extensive bruising (
A) would present differently and usually indicates trauma. Nevus flammeus (
C) refers to a port-wine stain, which is a different type of birthmark. Acrocyanosis (
D) is a condition characterized by bluish discoloration of the extremities due to poor circulation, not related to the described finding.
Question 5 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 optimal care and recovery. Assessing the mother's ability to provide this environment helps ensure the infant's safety and well-being.
Choice B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant.
Choice C is incorrect as the focus should be on the current situation and care of the infant rather than the mother obtaining treatment.
Choice D is incorrect as the severity of the infant's withdrawal, though important, is not the most critical assessment in planning care.