ATI Maternal Newborn Proctored Exam Latest Update -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Umbilical vein. The umbilical vein carries oxygenated blood from the placenta to the fetus. It is the main vessel responsible for delivering nutrients and oxygen to the developing fetus. The other choices are incorrect because:
A) Ductus arteriosus is a fetal blood vessel that connects the pulmonary artery to the aorta, bypassing the lungs;
B) Umbilical artery carries deoxygenated blood from the fetus to the placenta;
C) Portal vein carries blood from the gastrointestinal tract to the liver, not from the placenta to the fetus.

Correct Answer: A

Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.

Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.

Correct Answer: D

Rationale: The correct answer is D because it accurately describes the progression of lochia flow from bright red to pinkish brown to creamy white over the course of about 21 days postpartum. This is important for the client to understand to monitor her recovery.
Choice A is incorrect as it does not specify the time frame for the color changes.
Choice B is incorrect because small clots are normal, but large clots or excessive clotting may indicate an issue.
Choice C is incorrect as saturation of the pad can vary, and it is the amount of bleeding that is more concerning for postpartum hemorrhage.

Correct Answer: C

Rationale: The correct answer is C: Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. This is important because for accurate results, the newborn should have been feeding regularly to ensure proper metabolism and excretion of substances that are being tested for in the screening. If the newborn has not been feeding, the results may be skewed.


Choice A is incorrect because informed consent is not typically required for routine newborn screenings.
Choice B is incorrect as urine is not typically collected for universal newborn screenings.
Choice D is incorrect because premature newborns may have false positive tests, not false negative, due to immature liver enzyme development.

Correct Answer: C

Rationale: The correct answer is C: "Keep labels on containers of toxic substances and never remove them." This is correct because clear labeling helps prevent accidental poisoning as parents can easily identify hazardous substances and take necessary precautions. Removing labels can lead to confusion and potential misuse.


Choice A is incorrect as syrup of ipecac is no longer recommended for use in poisoning cases.
Choice B is incorrect as teaching children that plants can be eaten only after they are cooked is not a practical preventive measure.
Choice D is incorrect as placing medications above the sink does not guarantee safety and can still be accessible to preschoolers.