ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 1 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A newborn who is small for gestational age.
Question 2 of 5
Which of the following findings is associated with this condition?
Correct Answer: D
Rationale: The correct answer is D: Gray umbilical cord. This finding is associated with a condition called meconium staining of the umbilical cord, which occurs when the fetus passes meconium (first stool) in utero. Meconium can discolor the umbilical cord, turning it gray. The other choices, A, B, and C, do not specifically correlate with this condition. Moist skin (choice
A) is a non-specific finding, wide skull sutures (choice
B) may be seen in conditions like craniosynostosis, and a protruding abdomen (choice
C) can be present in various conditions unrelated to meconium staining of the umbilical cord.
Extract:
A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 3 of 5
Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Elevate the leg. Elevating the leg helps reduce swelling by promoting venous return and reducing fluid accumulation. It improves circulation and reduces pressure on blood vessels. Cold compresses (
A) can help with acute pain but do not address swelling. Massaging the area (
B) can worsen swelling and should be avoided. Flexing the knee while resting (
C) may not be appropriate if there is swelling or pain. Elevation is a key intervention to manage swelling and promote healing.
Extract:
A client who is postpartum.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D. Vitamin K decreases the newborn's risk of hemorrhagic disorders.
Rationale: Vitamin K is essential for blood clotting. Newborns are born with low levels of Vitamin K, putting them at risk for hemorrhagic disorders such as Vitamin K deficiency bleeding. By giving newborns a Vitamin K injection shortly after birth, the risk of hemorrhagic disorders is significantly decreased.
Summary:
A. Incorrect - Vitamin K does not directly decrease the risk of healthcare-associated infections.
B. Incorrect - Vitamin K does not directly decrease the risk of jaundice in newborns.
C. Incorrect - Vitamin K does not directly decrease the risk of complications from the Hepatitis B vaccine.
Extract:
A client who is 2 days postpartum.
Question 5 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.