ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which of the following are probable signs, strongly indicating pregnancy?
Correct Answer: C
Rationale: The correct answer is C because Hegar's sign and Chadwick's sign are both considered probable signs of pregnancy. Hegar's sign indicates softening of the lower uterine segment, which is a result of hormonal changes in pregnancy. Chadwick's sign refers to the bluish or purplish color of the cervix due to increased blood supply and estrogen levels. These signs are more reliable indicators of pregnancy compared to presumptive signs like quickening or ballottement, which can be caused by conditions other than pregnancy.
Therefore, option C is the most appropriate choice as it correctly identifies signs that strongly suggest the presence of pregnancy.
Question 2 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 3 of 5
A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety?
Correct Answer: C
Rationale: The correct answer is C because changing the bedding and clothing frequently helps maintain cleanliness, comfort, and prevent skin breakdown due to moisture accumulation. This action also promotes hygiene and prevents infection. Option A is incorrect as toys with small parts are a choking hazard in an oxygen tent. Option D is incorrect as tucking the tent under the mattress may restrict airflow and increase the risk of suffocation.
Question 4 of 5
During the postpartum period, a hospitalized client complains of discomfort related to her episiotomy. The nurse assigns the diagnosis of 'pain related to perineal sutures.' Which nursing intervention is most appropriate during the first 24 hours following an episiotomy?
Correct Answer: D
Rationale: The correct answer is D: Apply ice packs to the perineum. This intervention helps reduce swelling, inflammation, and provides pain relief by numbing the area. Ice constricts blood vessels, reducing blood flow to the area, which can minimize pain and discomfort. Ice packs should be applied for short periods, typically 20 minutes on and 20 minutes off, to prevent skin damage. This intervention is most appropriate during the first 24 hours post-episiotomy as it helps manage acute pain and promotes healing.
Other choices are incorrect:
A: Using petroleum jelly can increase the risk of infection and hinder wound healing.
B: Kegel exercises focus on pelvic floor muscle strength and do not directly address pain related to perineal sutures.
C: Sitz baths are beneficial for promoting healing but may not provide immediate pain relief like ice packs.
Question 5 of 5
The nurse performs Leopold's maneuvers for a client admitted in labor. Which is the main goal of Leopold's maneuvers?
Correct Answer: D
Rationale: The correct answer is D:
To determine the presentation and position of the fetus. Leopold's maneuvers involve palpating the abdomen to assess the fetal position, presentation, and lie.
Step 1 determines which fetal part is in the upper abdomen (head or buttocks), step 2 determines the location of the back, step 3 identifies the presenting part and its mobility, and step 4 determines the descent of the fetal head into the pelvis. This helps the nurse understand the fetal position for appropriate labor management.
Choices A, B, and C are incorrect because Leopold's maneuvers do not directly assess cervical dilation, contraction frequency, intensity, or rupture of membranes.