ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A, "Apical." This approach involves listening to the heart rate using a stethoscope placed over the apex of the heart. This method is most accurate for infants as it directly measures the heart's contractions. Radial (
B), ulna (
C), and brachial (
D) methods primarily measure peripheral pulses and may not accurately reflect the infant's heart rate due to potential delays in the transmission of the pulse from the heart to the peripheral arteries.
Therefore, apical auscultation is the preferred method for accurate heart rate measurement in infants.
Question 2 of 5
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
Correct Answer: D
Rationale: The correct answer is D: "I can give him a tub bath in two days." This statement indicates a need for further clarification because it is not recommended to give a newborn a tub bath until the circumcision is fully healed, which typically takes around 1-2 weeks. Giving a tub bath too soon can increase the risk of infection and delay the healing process.
A: Correct - Yellow exudate is a normal part of the healing process.
B: Correct - Regular cleaning is important to prevent infection.
C: Correct - Circumcision typically heals in a couple of weeks.
Summary: Option D is incorrect as it poses a risk to the newborn's healing process, while the other options demonstrate understanding of proper care post-circumcision.
Question 3 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bruising. By inspecting the skin daily, the nurse can promptly identify any lesions or signs of bleeding, allowing for timely intervention to prevent complications.
A: "Provide a diet high in carbohydrates" - This choice is incorrect as it is not directly related to managing myelosuppression or skin lesions in this case.
B: "Monitor rectal temperature every 4 hr" - While monitoring temperature is important, it is not specifically related to managing skin lesions caused by myelosuppression.
C: "Use lemon or glycerin swabs for oral care" - Oral care is important for overall health but does not directly address the risk of skin lesions associated with myelosuppression.
Question 4 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers. Which of the following should the nurse include?
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is essential to prevent accidental poisoning in preschoolers. This ensures that parents and caregivers can easily identify hazardous substances and take appropriate precautions. Removing labels can lead to confusion and accidental ingestion.
Incorrect choices:
A: Syrup of ipecac is no longer recommended for home use as it can do more harm than good.
B: Teaching children to cook plants before eating them does not address the immediate danger of accidental poisoning.
D: Placing medications above the sink does not guarantee safety as children can still access them easily.
In summary, choice C is the most effective preventive measure among the options provided.
Question 5 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal distress. Late decelerations occur after the peak of the contraction, indicating that the fetus is not receiving enough oxygen. This is a serious concern as it can lead to fetal distress and potential harm to the baby. The nurse's action in notifying the physician is crucial to address the uteroplacental insufficiency and prevent further complications.
A: Nuchal cord is associated with variable decelerations, not late decelerations.
B: Variable decelerations are linked to cord compression, not late decelerations.
C: Late decelerations are indeed a result of hypoxia and are not related to the strength of maternal contractions, but the critical issue here is the underlying cause of hypoxia, which is uteroplacental insufficiency.