ATI Maternal Newborn Proctored Exam

ATI Maternal Newborn Proctored Exam Related

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On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:

  • A. Potential for respiratory distress
  • B. Poor oxygenation
  • C. Cold stress
  • D. Acrocyanosis
Correct Answer: D

Rationale: Acrocyanosis is a condition commonly seen in newborns where the hands and feet appear blue or purple in color due to decreased circulation in the peripheral blood vessels. It is usually a normal finding in newborns and is not associated with distress or poor oxygenation. Unlike central cyanosis which indicates a more serious underlying issue affecting oxygen levels in the blood, acrocyanosis is a benign and self-limiting condition. It is important for the nurse to recognize and document acrocyanosis to differentiate it from other potentially concerning conditions.

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A nurse is conducting a discharge teaching for a client going home after cesarean section. Which S&S should the client be taught to report?

  • A. Frequency urgency and burning on urination
  • B. Feeling pelvic fullness
  • C. Redness or edema of abdominal decision
  • D. Mild incisional pain
Correct Answer: A

Rationale: After a cesarean section, the client should be taught to report symptoms of a urinary tract infection, such as frequency, urgency, and burning on urination. These symptoms can indicate an infection which needs prompt treatment to prevent complications. It is important for the client to report these symptoms to their healthcare provider for appropriate evaluation and management.

The nurse is assessing a client with suspected ectopic pregnancy. What is the most common symptom?

  • A. Bright red vaginal bleeding.
  • B. Severe lower abdominal pain.
  • C. Increased fetal movement.
  • D. Painless vaginal spotting.
Correct Answer: B

Rationale: Severe lower abdominal pain, often on one side, is a hallmark symptom of ectopic pregnancy.

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L

  • A. Respiratory acidosis
  • B. Metabolic acidosis
  • C. Metabolic alkalosis
  • D. Respiratory alkalosis
Correct Answer: A

Rationale: The ABG values provided indicate respiratory acidosis. In respiratory acidosis, there is an increase in PaCO2 above the normal range (35-45 mm Hg) leading to a decrease in pH (<7.35). In this case, the pH is 7.22 (below normal) with an elevated PaCO2 of 68 mm Hg. The other values do not suggest metabolic acidosis (which would typically show low bicarbonate levels) or metabolic alkalosis. Therefore, the correct interpretation of the ABGs is respiratory acidosis.

The nurse is attempting to explain physiologic birth. What do they say?

  • A. Physiologic birth involves interventions that do not harm the baby.”
  • B. Physiologic birth occurs only in birth centers.”
  • C. If your partner and I give you support, you can have a birth without medical intervention.”
  • D. If you want to have a cesarean birth, we can ask your health-care provider to schedule it.”
Correct Answer: C

Rationale: Physiologic birth focuses on minimal intervention, supported by a calm environment and supportive care.

The nurse is teaching a prenatal class about breast changes during pregnancy. Which change is expected?

  • A. Decrease in nipple pigmentation.
  • B. Reduction in breast size.
  • C. Darkening of the areola.
  • D. Development of inverted nipples.
Correct Answer: C

Rationale: Darkening of the areola is a common change due to hormonal influences during pregnancy.

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