ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which data support a diagnosis of abruptio placenta in a pregnant woman?
Correct Answer: A
Rationale: The correct answer is A: Uterine rigidity and abdominal pain. In abruptio placenta, the placenta detaches prematurely from the uterine wall, leading to uterine rigidity and intense abdominal pain due to blood accumulating behind the placenta. Painless bleeding with a soft abdomen (
Choice
B) is more indicative of placenta previa. Premature rupture of membranes and uterine contractions (
Choice
C) are signs of preterm labor or premature rupture of membranes, not specific to abruptio placenta. Bright red blood loss and elevated blood pressure (
Choice
D) are more consistent with conditions like placenta previa or preeclampsia.
Question 2 of 5
At 28 weeks gestation, a woman enters the hospital in preterm labor and receives atocolytic medication to stop labor. Which assessment findings should be reported immediately to the physician?
Correct Answer: D
Rationale: The correct answer is D: Ferning pattern of vaginal discharge under a microscope. This finding indicates rupture of membranes, which can lead to infection and endanger both the mother and the fetus. It is crucial to report this immediately to the physician for further assessment and management.
Choice A (Fetal heart rate averaging 160 beats/min) can be a normal finding in a preterm labor situation and does not indicate an urgent concern.
Choice B (Irregular contractions every 15-20 minutes that last 30 seconds before stopping) are not necessarily alarming as long as they are not progressing into active labor.
Choice C (Maternal vital signs within normal range) are also not immediate cause for concern.
Question 3 of 5
During an outpatient clinic visit, a 13-year-old client is diagnosed with infectious mononucleosis. The nurse should expect which of the following to be included in the client's plan of care?
Correct Answer: B
Rationale: The correct answer is B: Encourage gargling with warm water to alleviate pain. Gargling with warm water can help soothe a sore throat, a common symptom of infectious mononucleosis. Acetaminophen with codeine (
A) is not typically recommended for mononucleosis pain management in children due to the risk of respiratory depression. Starting a short course of ampicillin (
C) is contraindicated in mononucleosis as it can cause a rash. Encouraging social activity (
D) may not be appropriate as the client may need rest to recover.
Question 4 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 5 of 5
An hour after delivery, a 4000 gram infant exhibits pallor, jitteriness, a blood sugar level of 40 gm/dL, irritability and periodic apnea. Which maternal condition could be the cause of the newborn's symptoms?
Correct Answer: D
Rationale: The correct answer is D: Gestational diabetes. The symptoms described in the infant, such as hypoglycemia (blood sugar level of 40 gm/dL), jitteriness, irritability, and pallor, are indicative of neonatal hypoglycemia. Gestational diabetes can lead to fetal hyperinsulinemia, causing the infant to have low blood sugar levels after birth. This is because the fetus becomes accustomed to high glucose levels in utero and continues to produce excessive insulin after delivery. The other choices are less likely to cause neonatal hypoglycemia: A (drug addiction) typically presents with withdrawal symptoms but not hypoglycemia, B (pregnancy-induced hypertension) may lead to intrauterine growth restriction but not directly cause hypoglycemia, and C (TORCH infections) can cause various congenital anomalies but not typically result in neonatal hypoglycemia.