ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 1 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: The correct answer is B: Expressions of excitement. During the postpartum phase, the mother may experience a range of emotions, including excitement about the new baby. This is a common and expected response as the mother bonds with her newborn.
Choices A, C, and D are incorrect.
Choice A may be relevant during the prenatal phase, but not specifically during the postpartum phase.
Choice C may be expected, but it is not the most prominent finding during this phase.
Choice D is not a typical finding during the postpartum phase, as most mothers have an increased appetite due to the physical demands of breastfeeding and recovery.
Extract:
A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
Question 2 of 5
What might you expect to find in the mother's pregnancy history?
Correct Answer: D
Rationale: The correct answer is D: Chronic alcohol use. A mother's pregnancy history is crucial for assessing potential risks to both the mother and the fetus. Chronic alcohol use during pregnancy can lead to fetal alcohol spectrum disorders. This can result in physical, behavioral, and cognitive issues in the child. It is important to identify this history early on to provide appropriate care and support.
Choices A, C, and E are incorrect as they are not typically associated with the mother's pregnancy history. Chronic cocaine use (
B) can also have serious consequences during pregnancy, but in this context, chronic alcohol use (
D) is the most relevant option.
Extract:
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
Question 3 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: A
Rationale: The correct answer is A: Variable decelerations. Variable decelerations indicate umbilical cord compression, which can lead to fetal distress. This pattern is characterized by abrupt and transient decreases in the fetal heart rate. Other choices are incorrect because:
B) Early decelerations are associated with head compression during contractions and are considered a normal response to labor;
C) Accelerations are a reassuring sign of fetal well-being, indicating a healthy response to fetal movement;
D) Late decelerations suggest uteroplacental insufficiency, not related to umbilical cord issues.
Extract:
A nurse is discussing postpartum depression with a newly licensed nurse.
Question 4 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
Correct Answer: D
Rationale: The correct answer is D because postpartum depression is more likely to occur in women with a history of depression due to predisposing factors.
Choice A is incorrect as harming the infant is not the most common manifestation.
Choice B is incorrect as postpartum depression can occur anytime within the first year.
Choice C is incorrect as psychotic behavior is not common in postpartum depression.
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 5 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation. This finding confirms labor as it indicates the cervix is opening in preparation for childbirth. Brownish vaginal discharge (
A) may not be specific to labor. Amniotic fluid in the vaginal vault (
C) could suggest ruptured membranes but not necessarily active labor. Pain above the umbilicus (
D) is not a typical sign of labor.