ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which explanation is most appropriate when describing physiological jaundice to the parents of a newborn?
Correct Answer: B
Rationale: The correct answer is B: The baby is breaking down the extra red blood cells that were present at birth. Physiological jaundice in newborns occurs due to the breakdown of excess red blood cells, leading to an accumulation of bilirubin in the blood. This explanation is accurate as it directly relates to the underlying physiological process causing jaundice in newborns.
Choice A is incorrect as minor incompatibility of blood is not the primary cause of physiological jaundice.
Choice C is incorrect as excessive breast milk intake is not a cause of physiological jaundice.
Choice D is incorrect as hepatitis B exposure is unrelated to physiological jaundice in newborns.
Question 2 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 3 of 5
A nurse is caring for a child with muscular dystrophy. Which of the following priority actions should the nurse include in the care of this child?
Correct Answer: D
Rationale: The correct answer is D: Have the child use an incentive spirometer and perform breathing exercises routinely. This is the priority action because children with muscular dystrophy are at risk for respiratory complications due to weakened respiratory muscles. Using an incentive spirometer and performing breathing exercises help maintain lung function and prevent respiratory infections.
A: Limiting physical activity and planning rest periods is important, but respiratory care takes precedence in muscular dystrophy.
B: Genetic counseling is important for family planning but does not directly impact the child's care.
C: Advising against vaccines can increase the risk of infections in a child with compromised respiratory function.
E, F, G: No information provided.
Question 4 of 5
The dosage of a pediatric medication is 120mg/kg/day to be given t.i.d. The patient weighs 12 pounds. What is the correct dose for the nurse to administer?
Correct Answer: C
Rationale: The patient weighs twelve pounds, which converts to kilograms by dividing 12 by 2.2 (1 kg = 2.2 lb.). In this example, the child's weight converts to 5.4 kg. The daily dose of 120 mg is given t.i.d: each individual dose is 40 mg/kg.
Then multiply the weight in kilograms by the individual dose (40mg). The individual dose is 218 mg.
Question 5 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn skin to skin on the mother’s chest. This technique, known as kangaroo care, has been shown to reduce pain responses in newborns by promoting comfort and security through skin-to-skin contact with the mother. This closeness releases oxytocin, a hormone that helps reduce pain perception. Additionally, the mother's warmth and heartbeat can provide a soothing environment for the newborn during the procedure. Applying a cool pack (
A) may cause vasoconstriction and increase the pain sensation. Requesting an IM analgesic (
B) is not recommended for routine heel sticks in newborns due to potential side effects. Using a manual lancet blade (
C) may not be as effective in reducing pain as skin-to-skin contact.