ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which site is preferred for giving an IM injection to a newborn?
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis. The vastus lateralis muscle is preferred for IM injections in newborns due to its large muscle mass, minimal risk of injury to major blood vessels and nerves, and easy accessibility. It is also recommended by healthcare guidelines for infants. Ventrogluteal and dorsogluteal sites are not recommended for newborns due to the risk of damaging nerves and blood vessels. The rectus femoris muscle is not typically used for IM injections in newborns as it is less accessible and has a higher risk of injury.
Question 2 of 5
During the first twelve hours following a normal vaginal delivery, the client voids 2,000 mL of urine. How should the nurse interpret this finding?
Correct Answer: D
Rationale: The correct interpretation is D: Normal diuresis after delivery. After childbirth, diuresis is common due to the body eliminating excess fluid retained during pregnancy. This process helps reduce swelling and aids in returning to pre-pregnancy state. Voiding 2,000 mL in the first twelve hours is within the expected range for postpartum diuresis.
Choices A, B, and C are incorrect as they do not align with the typical physiologic response to childbirth. Urinary tract infection and high output renal failure would present with other symptoms, while excessive IV fluid use would not explain the timing or volume of urine output.
Question 3 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. Insulin is the preferred medication for managing gestational diabetes as it is safe for the fetus and provides precise blood sugar control. Metformin (
A) and Glyburide (
D) are alternatives if insulin is not tolerated, but they may cross the placenta and have potential risks. Glucagon (
B) is not used for diabetes management but for treating severe hypoglycemia.
Question 4 of 5
Which assessment finding indicates that placental separation has occurred during the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D: Lengthening of the umbilical cord. This indicates placental separation as the placenta detaches from the uterine wall, causing the cord to lengthen. A: Decreased vaginal bleeding is incorrect as bleeding typically increases due to separation. B: Contractions stopping is not indicative of placental separation but can occur after the placenta is delivered. C: Maternal shaking and chills are signs of postpartum shivering, not placental separation.
Question 5 of 5
The nurse midwife is concerned about a pregnant client who is suspected of having a TORCH infection. Which is the main reason TORCH infections are grouped together? They are:
Correct Answer: C
Rationale: The correct answer is C because TORCH infections (
Toxoplasmosis, Other, Rubella, Cytomegalovirus, Herpes) are grouped together due to their ability to infect the fetus during pregnancy. These infections can lead to severe complications in the developing fetus, including congenital disabilities and even fetal death.
Choices A, B, and D do not accurately describe the main reason TORCH infections are grouped together.
Choice A focuses on the outcomes for the woman and fetus, not the reason for grouping the infections.
Choice B is incorrect as TORCH infections are not primarily sexually transmitted.
Choice D is also incorrect as TORCH infections are not transmitted by vectors but through various routes such as transplacentally or through contact with infected bodily fluids.