ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client’s ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care after birth?
Correct Answer: A
Rationale: SGA newborns are at risk for meconium aspiration syndrome, requiring observation for meconium in respiratory secretions. They are prone to hypothermia, not hyperthermia; anemia is less immediate; and hypoglycemia, not hyperglycemia, is a concern.
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 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 4 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.
Question 5 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, as it can damage placental blood vessels, leading to premature separation. Cocaine use, trauma, and smoking are risk factors but are less common than hypertension.