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: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 2 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10.
Correct Answer: C
Rationale: The correct answer is C: "Notify the primary care provider." In this scenario, the child's pain rating of 8 indicates severe pain, which could be a sign of complications in appendicitis. Notifying the primary care provider is crucial for immediate evaluation and intervention. Continuing with pain assessment (
A) can delay necessary treatment. Taking vital signs (
B) is important but addressing the severe pain takes precedence. Auscultating bowel sounds (
D) may provide additional information but is not as urgent as notifying the primary care provider.
Question 3 of 5
A client in preterm labor is admitted to the hospital. Which classification of drugs should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A:
Tocolytics.
Tocolytics are drugs that inhibit uterine contractions and are commonly used to delay preterm labor. They help prevent premature birth by giving time for other interventions to take place. Anticonvulsants (
B) are used to control seizures and are not indicated for preterm labor. Glucocorticoids (
C) are used to accelerate fetal lung maturation, not to delay labor. Anti-infective drugs (
D) are used to treat infections, not to stop preterm labor. In this scenario, tocolytics are the most appropriate choice to address the client's situation.
Question 4 of 5
A woman at 42 weeks gestation enters the hospital for induction of labor. Since the infant is postterm, which complications should the nurse anticipate when planning for the delivery?
Correct Answer: B
Rationale: The correct answer is B: Asphyxia and meconium aspiration. At 42 weeks gestation, the risk of fetal distress increases due to reduced placental function, leading to possible asphyxia during labor. Postterm infants are at increased risk of passing meconium in utero, which can be aspirated during delivery, causing meconium aspiration syndrome. Cephalopelvic disproportion (choice
A) is not directly related to postterm pregnancy. Intraventricular hemorrhage and dry, cracked skin (choice
C) are not common complications associated with postterm pregnancies. Hyperbilirubinemia and hypocalcemia (choice
D) are more related to prematurity than postterm pregnancies.
Question 5 of 5
Which explanation is most appropriate when describing physiological jaundice to the parents of a newborn?
Correct Answer: B
Rationale: The correct answer is B: The baby is breaking down the extra red blood cells that were present at birth. Physiological jaundice in newborns occurs due to the breakdown of excess red blood cells, leading to an accumulation of bilirubin in the blood. This explanation is accurate as it directly relates to the underlying physiological process causing jaundice in newborns.
Choice A is incorrect as minor incompatibility of blood is not the primary cause of physiological jaundice.
Choice C is incorrect as excessive breast milk intake is not a cause of physiological jaundice.
Choice D is incorrect as hepatitis B exposure is unrelated to physiological jaundice in newborns.