ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, damaging placental vessels. Cocaine, trauma, and smoking are less common risk factors.
Question 2 of 5
A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Hospital protocols require authorized personnel to transport newborns to prevent abduction. Having the mother call and the nurse transport the baby ensures safety. Allowing the grandmother to transport, even with ID, violates security measures.
Question 3 of 5
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: The findings are normal: fundus descending, moderate lochia rubra, and full, warm breasts indicate milk production. No interventions are needed, as heating pads, bra removal, or mastitis signs (pain, fever) are not indicated.
Question 4 of 5
A nurse in a provider’s office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Ultrasound before amniocentesis locates the placenta and fetus to guide safe needle insertion. Estimating fetal age, screening for spina bifida, or detecting multiples are secondary, not primary purposes.
Question 5 of 5
A nurse is preparing to assess a newborn who is post-term. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,C,D
Rationale: Post-term newborns typically have vernix only in folds and creases due to reduced amounts, a positive Moro reflex as it is present at birth, and cracked peeling skin from prolonged amniotic fluid exposure. Abundant lanugo is shed before birth in post-term infants, and they usually have long fingernails, not short and soft.