ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push
Question 1 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Have the client pant during the next contractions. At 7 cm dilation with the urge to push and intact membranes, it indicates that the client may be experiencing a premature urge to push. Panting during contractions helps prevent rapid descent of the fetus, decreasing the risk of cervical swelling or lacerations. Assisting the client into a comfortable position (
B) may not address the urge to push. Helping the client to the bathroom to void (
C) is unnecessary at this stage. Observing the perineum for signs of crowning (
D) would not be appropriate as the client's urge to push is premature.
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 2 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Turn the client onto her side. This action helps to alleviate pressure on the vena cava, improving blood flow to the placenta and reducing the risk of hypoxia for the fetus. Late decelerations indicate uteroplacental insufficiency, and repositioning the client can help improve fetal oxygenation. Option B is incorrect since increasing IV fluids won't directly address the late decelerations. Option C is not the priority as assessing the uterus can be done after addressing the immediate issue of late decelerations. Option D is incorrect as administering oxygen would be appropriate after repositioning the client. Option E is a duplicate answer.
Extract:
A client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility
Question 3 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: D
Rationale: The correct answer is D because in Rh incompatibility, if the mother is Rh-negative and the baby is Rh-positive, the mother's immune system can produce anti-Rh antibodies that cross the placenta and attack the baby's red blood cells, causing hemolysis and leading to hyperbilirubinemia.
Choice A is incorrect because a history of receiving Rh-negative blood does not lead to Rh incompatibility.
Choice B is incorrect because it describes the mechanism of ABO incompatibility, not Rh incompatibility.
Choice C is incorrect because it describes the process of Rh incompatibility but reverses the roles of the mother and baby.
Extract:
A client who is at 36 weeks of gestation. Reports a mild headache for the last several days as well as 'heartburn.' Denies visual disturbances. Also denies vaginal bleeding or leakage of fluid from the vagina. Reports occasional contraction and positive fetal movement. Reports they are unable to remove rings from fingers for the last several days. Reports headache is more severe and rates pain as a 5 on a 0 to 10 pain scale, Reports feeling dizzy when they got up from examination table
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A,B,C,E,F
Rationale: The correct findings to report to the provider are A, B, C, E, and F. A: Cerebral manifestations can indicate neurological issues. B: Gastrointestinal assessment findings can reveal underlying conditions. C: Respiratory rate is crucial for assessing respiratory function. E: Blood pressure abnormalities can signify cardiovascular problems. F: Fetal heart rate is crucial for monitoring fetal well-being. Reporting these findings promptly allows for timely intervention. Other choices like D (deep tendon reflexes) are not typically urgent unless there are specific concerns.
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler
Question 5 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Option A is correct because limiting carbohydrate intake to 40% of daily calories can help manage blood glucose levels in clients with diabetes. Option C is appropriate as metformin is a common medication prescribed for diabetes management. Option D is necessary as conducting non-stress tests can help monitor fetal well-being in pregnant clients with diabetes. Option B is incorrect as checking random blood glucose levels once daily may not provide a comprehensive picture of blood sugar control. Options E, F, and G are not provided in the question.