ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A client presents to the health care clinic for her first prenatal checkup.
Question 1 of 5
What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?
Correct Answer: C
Rationale: The correct answer is C: Folic acid. Folic acid is essential in preventing neural tube defects in the developing fetus. It aids in the formation of the neural tube, which develops into the brain and spinal cord. Vitamin E (
A) is not directly related to neural tube defects prevention. Calcium (
B) is important for bone health, not neural tube development. Iron (
D) is crucial for preventing anemia but not specifically for neural tube defects.
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 2 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.
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:
Which documentation in the health record is most correct for the third stage of labor?
Question 4 of 5
Which documentation in the health record is most correct for the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D because the third stage of labor begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta. This stage typically lasts around 5-30 minutes. It is important to document the timings accurately as it is crucial for monitoring the progression of labor and ensuring the safe delivery of the placenta.
Choice A is incorrect as it refers to the second stage of labor which involves full cervical dilation and delivery of the fetus.
Choice B is incorrect as it refers to the postpartum period, not the third stage of labor.
Choice C is incorrect as it does not accurately describe the end point of the third stage of labor.
Overall, the correct answer D provides the most accurate and specific documentation for the third stage of labor.
Extract:
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to choose C: Document the findings and continue to monitor the client. This is the correct answer because it is important for the nurse to document the client's condition accurately and continue to monitor for any changes. By documenting the findings, the nurse ensures that there is a clear record of the client's status for future reference and communication with other healthcare providers. Increasing the frequency of fundal massage (choice
B) may not be necessary or appropriate based on the client's current condition. Notifying the client's provider (choice
A) may be necessary at a later stage depending on the client's progress. Encouraging the client to empty her bladder (choice
D) is important but may not be the immediate priority in this situation.