ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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.
Question 2 of 5
The physician performs an amniotomy for a woman in labor. Which nursing action should follow the procedure?
Correct Answer: D
Rationale: The correct answer is D: Assess the fluid for color, odor, and amount. After an amniotomy, it is crucial to assess the amniotic fluid to ensure it is clear, odorless, and of the correct amount, which indicates normal fetal well-being. This assessment helps in identifying any potential issues such as meconium staining or infection. This nursing action directly follows the procedure and is essential for monitoring the health of both the mother and the baby. Checking capillary refill and oxygenation (
A) is important but not directly related to the amniotomy procedure. Monitoring maternal pulse and blood pressure (
B) is also important but not the immediate next step after amniotomy. Inspecting the perineum (
C) is necessary but not the priority following amniotomy.
Question 3 of 5
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
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.
Question 4 of 5
A nurse is reinforcing teaching given to the parent of a 1-year-old child who has had a high temperature, vomiting, and diarrhea for 48 hr. The child has sunken eyes and cracked lips. Which of the following should the nurse tell the parent?
Correct Answer: C
Rationale: Oral rehydration solutions effectively replace fluids and electrolytes lost due to vomiting and diarrhea.
Question 5 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the progression of lochia flow after delivery. Lochia starts as bright red (lochia rubra) on days 1-3, transitions to pinkish brown (lochia serosa) on days 4-9, and finally becomes creamy white (lochia alba) from days 10-21. This information is crucial for the postpartum client to understand what is normal regarding lochia color and duration.
Choice A is incorrect as it does not provide the correct timeline of color changes.
Choices B and C are incorrect because they focus on abnormal findings rather than the normal progression of lochia.