ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which of the following physical manifestations of a client with anorexia nervosa best indicates compliance with the treatment plan of care?
Correct Answer: A
Rationale: The correct answer is A: "A weekly weight gain of 1 kg (2.2 lb)". In anorexia nervosa, weight restoration is a crucial goal. A weekly weight gain of 1 kg indicates compliance with the treatment plan as it shows the client is consuming an adequate amount of calories and nutrients. This is essential for reversing the physical effects of malnutrition.
Choices B, C, and D are incorrect because soft bowel movements, return of regular menstrual periods, and improvement of oral mucosa, while important indicators of health, do not directly reflect compliance with the treatment plan in anorexia nervosa. Weight gain is a key marker of nutritional rehabilitation and recovery in individuals with anorexia nervosa.
Question 2 of 5
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact.
Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context.
Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development.
Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
Question 3 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 4 of 5
A client is in the latent stage of labor. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to walk in the hall until membranes rupture. In the latent stage of labor, it is essential to promote physical activity to help facilitate the progression of labor. Walking can help gravity assist in the descent of the fetus. It also helps in the dilation and effacement of the cervix. Additionally, walking can help distract the client from the discomfort of contractions. Encouraging walking until the membranes rupture can help maintain the client's energy levels and promote a more efficient labor process.
Choice B is incorrect as it describes the Valsalva maneuver, which is not appropriate during labor.
Choice C refers to a breathing technique that is not specifically indicated for the latent stage of labor.
Choice D is not recommended as eating a light meal during labor may lead to nausea or vomiting.
Question 5 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: C
Rationale: The correct answer is C because in an emergency cesarean birth, time is of the essence, and it is crucial to prioritize interventions that ensure the safety and well-being of the client. Inserting an indwelling catheter helps to prevent bladder injury during the surgery by keeping the bladder empty. This is essential to avoid complications during the procedure. Monitoring O2 saturations, administering pain medications, taking vital signs, and instructing on breathing exercises are not immediate preoperative interventions needed in an emergency situation. These interventions can be addressed postoperatively when the client is stabilized.
Therefore, choice C is the most appropriate and necessary intervention for a client scheduled for an emergency cesarean birth.