ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
Parents of a newborn about caring for the umbilical cord stump.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because giving the newborn a sponge bath until the cord stump falls off helps prevent infection and promotes healing. Wrapping the cord in petroleum jelly gauze (
B) can trap moisture, leading to infection. Washing the cord daily with mild soap and water (
C) can be too harsh and disrupt the natural healing process. Covering the cord with the diaper (
D) can also trap moisture and increase infection risk.
Extract:
A client who is 2 days postpartum.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Breastfed newborns typically have 2-3 stools per day, indicating adequate feeding and hydration. This statement is crucial for the nurse to include in teaching to educate the parent on what to expect.
Choice A is incorrect as formula-fed newborns usually feed every 3-4 hours, not every 2 hours.
Choice B is incorrect as newborns should breastfeed 8-12 times a day, not just 5-7.
Choice C is incorrect because formula-fed newborns typically have 1-2 stools per day, not every 3 days.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because it provides accurate information about newborn weight loss and gain. Newborns can lose up to 10% of their birth weight in the first few days, but they should regain it by 7-14 days. This information reassures parents that weight loss is normal and temporary. Option A is incorrect as newborns should have at least 6 wet diapers a day. Option B is incorrect as newborns feed frequently, not constantly, in the first week. Option C is incorrect as infants should gain 0.5-1 oz (15-30 grams) per day, not 0.25 oz.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 4 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy, offers support, and validates the patient's feelings. It acknowledges the patient's emotional struggle and offers assistance.
Choice A lacks empathy and may minimize the patient's feelings.
Choice B suggests relying on external sources for comfort rather than immediate support.
Choice C is too direct and may come off as intrusive. Overall, choice D demonstrates effective therapeutic communication by expressing understanding and willingness to help.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Empty her bladder immediately prior to the procedure. This instruction is crucial to prevent discomfort during the procedure and minimize the risk of injury to the bladder. By emptying the bladder, the patient ensures there is no interference or obstruction during the procedure, allowing for accurate results.
Choice B is incorrect because washing the abdomen with soap and water can introduce unnecessary contaminants that may interfere with the procedure.
Choice C is incorrect as refraining from eating breakfast is not typically necessary unless specified by the healthcare provider.
Choice D is incorrect as giving oneself a hypertonic enema without proper guidance can be dangerous and is not a standard pre-procedure instruction.