ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects Rh-positive antibodies in the mother’s blood, assessing sensitization risk for future pregnancies. It’s performed on maternal blood, not newborn’s, and doesn’t assess kernicterus risk.
Question 2 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.
Question 3 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 4 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Monitoring blood glucose is critical for SGA newborns due to high hypoglycemia risk from limited glycogen stores. Intake/output, weight, and temperature are important but secondary to preventing hypoglycemia complications.
Question 5 of 5
A nurse is preparing to administer magnesium sulfate to a client. Which of the following is the priority nursing assessment for this client?
Correct Answer: B
Rationale: Respiratory rate is critical when administering magnesium sulfate due to the risk of respiratory depression. This takes priority over bowel sounds, temperature, or fetal heart rate, which are less immediate concerns.