ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: This will occur between the fourth and fifth months of pregnancy. Quickening, the first perception of fetal movements by the mother, typically occurs between weeks 16-20 of gestation, which aligns with the fourth and fifth months. This timing is due to the development of the fetus's nervous system and muscle strength, allowing for noticeable movements. The other choices are incorrect because quickening does not occur by the end of the first trimester (
A), during the last trimester (
C), or solely when the uterus rises out of the pelvis (
D), as its timing is more closely related to fetal development.
Question 2 of 5
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Correct Answer: C
Rationale: The correct answer is C: This test is a screening test for spinal defects in the fetus. The maternal serum alpha-fetoprotein test is used to screen for neural tube defects such as spina bifida in the fetus. The test measures the levels of alpha-fetoprotein in the mother's blood, which can indicate the presence of such defects. At 15 weeks of gestation, this test is typically done as part of routine prenatal screening.
Explanation for other choices:
A: This test does not identify Rh incompatibility; that is typically determined through other blood tests.
B: While the test may indirectly provide information about fetal well-being, its primary purpose is to screen for spinal defects, not general markers of well-being.
D: Fetal lung maturity is typically assessed using tests such as amniocentesis or ultrasound, not the maternal serum alpha-fetoprotein test.
Question 3 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes early decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Fetal head compression. Early decelerations are gradual, mirror the contraction pattern, and are caused by pressure on the fetal head during contractions. This is a normal response to labor and does not indicate fetal distress. Umbilical cord compression (choice
A) would result in variable decelerations. Uteroplacental insufficiency (choice
B) would cause late decelerations. Maternal bradycardia (choice
D) would not directly affect the fetal heart rate.
Question 4 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?
Correct Answer: D
Rationale: The correct answer is D: Large building blocks. At 12 months, toddlers are in the sensorimotor stage of development, where they explore objects through touch and manipulation. Large building blocks allow the toddler to practice fine motor skills, hand-eye coordination, and spatial awareness. They also promote creativity and problem-solving. Crayons and coloring books (choice
A) are more suitable for older children who have developed better fine motor skills. Modeling clay (choice
B) may pose a choking hazard for a 12-month-old. Hanging crib toys (choice
C) are more appropriate for infants and may not provide enough stimulation for a toddler.
Question 5 of 5
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Correct Answer: B
Rationale:
Rationale: The correct answer is B (Pre-adolescent/adolescent). Scoliosis screening is typically done during adolescence when rapid growth occurs, making it easier to detect and treat early. Screening during toddler/preschooler stage (
C) may miss early signs. Infants (
D) are not typically screened for scoliosis. Older adults (
A) are less likely to develop scoliosis.