ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
With routine prenatal screening, a woman in the second trimester of pregnancy is confirmed to have gestational diabetes. How may the nurse explain the role of diet and insulin in the management of blood sugar during pregnancy?
Correct Answer: B
Rationale: The correct answer is B. During pregnancy, insulin helps lower elevated blood sugar levels to meet the increased metabolic needs of the baby. Gestational diabetes occurs due to the body's inability to produce enough insulin to manage the increased blood sugar levels during pregnancy. By taking insulin, the mother can ensure that her blood sugar levels are controlled, reducing the risk of complications for both her and the baby. Oral hypoglycemics (choice
A) are not recommended during pregnancy due to potential risks to the baby.
Choice C is incorrect because gestational diabetes typically resolves after pregnancy. Eating three large meals (choice
D) can lead to fluctuations in blood sugar levels, which is not ideal for managing gestational diabetes.
Question 2 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is important because well-ventilated shoes help prevent fungal infections like athlete's foot by keeping the feet dry and reducing moisture buildup.
Choice A is incorrect as avoiding showering at the gym does not address the root cause of the issue.
Choice B is incorrect as applying antifungal cream daily is a reactive measure rather than a preventive one.
Choice C is incorrect as the color of socks does not impact fungal infections.
Question 3 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale:
Correct Answer: B - Have you noticed any bloody show or fluid coming from your vagina?
Rationale: Bloody show or fluid leakage can indicate rupture of membranes, a sign of true labor. This suggests the onset of cervical changes and progression towards delivery. It distinguishes true labor from false labor, which typically does not involve such physical signs.
Summary of other choices:
A: "When did your contractions begin?" - This question may provide a timeline for contractions but does not specifically differentiate between true and false labor.
C: "What happens to your contractions when you move about?" - Contractions can vary in intensity based on movement, but this does not definitively differentiate between true and false labor.
D: "Have you felt fetal movement over the last 24 hours?" - Fetal movement is important for assessing fetal well-being but does not directly help in distinguishing true labor from false labor.
Question 4 of 5
A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, 'When will my child get the next dose of MMR vaccine?' Which is the correct response by the nurse?
Correct Answer: D
Rationale: A second MMR, often called a booster, will be needed when the child enters middle school at age eleven or twelve years of age. This ensures full immunity from the diseases covered by the MMR vaccine.
Question 5 of 5
A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Correct Answer: D
Rationale: The correct answer is D: Partial thromboplastin time (PTT). In hemophilia, there is a deficiency in specific clotting factors, leading to prolonged PTT due to impaired intrinsic pathway function. A: Fibrinogen level is normal in hemophilia as it is not affected by clotting factor deficiencies. B: Hemoglobin level is unrelated to hemophilia and reflects oxygen-carrying capacity of blood. C: Prothrombin time (PT) evaluates the extrinsic pathway, which is typically normal in hemophilia.
Therefore, the abnormal result is in PTT, making it the correct choice.