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. This site is preferred for giving an IM injection to a newborn because it has a large muscle mass and is easily accessible. The vastus lateralis muscle is located on the lateral side of the thigh, making it a safe and effective site for administering injections in infants. It is important to avoid other sites like the ventrogluteal, rectus femoris, or dorsogluteal in newborns due to the risk of hitting nerves or blood vessels. The vastus lateralis is the most recommended site for IM injections in infants for safety and efficacy.
Question 2 of 5
A nurse on a pediatric unit is assigned to care for a child with Reye syndrome. Which of the following is the most serious clinical manifestation for which the nurse should monitor?
Correct Answer: B
Rationale: The correct answer is B: Cerebral edema. In Reye syndrome, cerebral edema is the most serious manifestation due to increased intracranial pressure, potentially leading to brain damage or death. Anaphylaxis (
A) is not typically associated with Reye syndrome. Impaired coagulation (
C) can occur but is not as immediately life-threatening as cerebral edema. Hypervolemia (
D) is a possible complication but not as critical as cerebral edema in Reye syndrome.
Question 3 of 5
What is the main cause of mastitis in the postpartum client?
Correct Answer: A
Rationale: The correct answer is A: Poor breastfeeding technique. Mastitis is mainly caused by milk stasis due to inadequate milk removal caused by poor latching or positioning during breastfeeding. This leads to inflammation and infection. Inadequate hand washing (
B) may contribute to infection but is not the main cause. Systemic maternal infection (
C) is a possible complication of mastitis, not the main cause. Prolonged nursing (
D) is not a direct cause of mastitis but can be a contributing factor if the baby does not effectively remove milk.
Question 4 of 5
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney.
Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
Question 5 of 5
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
Correct Answer: A
Rationale: The correct answer is A. Weak, ineffective suck and scalp edema may indicate a possible complication of the forceps delivery. Weak suck suggests potential nerve damage from the forceps, affecting the infant's ability to suck effectively. Scalp edema is a common complication due to the pressure exerted by the forceps during delivery, potentially leading to swelling and bruising. Molding of the head and jitteriness (
B) are common after vaginal delivery and not specific to forceps delivery. Shrill, high-pitched cry and tachypnea (
C) may indicate respiratory distress but are not directly related to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (
D) could be normal findings or related to other factors not specific to forceps delivery.