ATI Maternal Newborn Proctored Exam 2024

ATI Maternal Newborn Proctored Exam 2024 Related

Review ATI Maternal Newborn Proctored Exam 2024 related questions and content

The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by

  • A. Proper breastfeeding techniques
  • B. Washing with mild soap and water once a day
  • C. Wearing a supportive bra 24h
  • D. Wearing a nipple shield first few days of breastfeeding
Correct Answer: A

Rationale: Acute mastitis is inflammation of the breast tissue that may result from milk stasis, inadequate milk removal, or bacteria entering the breast tissue through cracks in the nipple. One of the key ways to prevent acute mastitis is by ensuring proper breastfeeding techniques. This includes ensuring a good latch to allow for effective milk removal, practicing frequent and complete emptying of the breasts, and alternating the position of the baby during feeding to ensure all parts of the breast are drained. Proper breastfeeding techniques help to prevent milk stasis and reduce the risk of developing mastitis.

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A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

  • A. Vomiting
  • B. Tachycardia
  • C. Respiratory depression
  • D. Hypotension
Correct Answer: D

Rationale: Epidural anesthesia can cause hypotension as a common complication. This occurs because the local anesthetic affects the sympathetic nerves, leading to vasodilation and subsequent lowering of blood pressure. It is crucial for nurses to monitor the client's blood pressure closely and be prepared to administer IV fluids or medications to address the hypotension promptly. Vomiting, tachycardia, and respiratory depression are not typically associated with epidural anesthesia; therefore, hypotension is the most likely complication to be identified in this scenario.

What population is disproportionately affected by human trafficking, particularly for sexual exploitation?

  • A. older adults aged 65 and above
  • B. males in their late 20s and 30s
  • C. persons AFAB
  • D. individuals with higher education levels
Correct Answer: C

Rationale:

A client at 32 weeks' gestation reports regular uterine contractions every 10 minutes. What is the nurse's priority action?

  • A. Administer tocolytic medication as prescribed.
  • B. Perform a sterile vaginal examination.
  • C. Assess for cervical changes and fetal heart rate.
  • D. Encourage ambulation to relieve discomfort.
Correct Answer: C

Rationale: Assessing cervical changes and fetal heart rate is essential to determine whether the client is in preterm labor.

The nurse is caring for a client in the second stage of labor. What assessment indicates that birth is imminent?

  • A. Cervix is dilated to 8 cm.
  • B. Fetal head is crowning.
  • C. Contractions every 3–5 minutes.
  • D. Client reports back pain.
Correct Answer: B

Rationale: Crowning occurs when the fetal head becomes visible at the vaginal opening, indicating that birth is imminent.

What is the priority nursing action for a newborn with a temperature of 35.5°C (95.9°F)?

  • A. Place the newborn under a radiant warmer
  • B. Administer warm IV fluids
  • C. Swaddle the newborn in warm blankets
  • D. Provide glucose supplementation
Correct Answer: A

Rationale: Placing the newborn under a radiant warmer helps raise body temperature and prevent complications.

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