ATI RN
ATI Maternity Nur230 Questions
Extract:
Newborn born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight
Question 1 of 5
A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. How should the nurse classify this neonate based on the weight and gestational age?
Correct Answer: B
Rationale: A weight in the 60th percentile at 38 weeks classifies the neonate as appropriate for gestational age (10th-90th percentile).
Extract:
Child admitted with suspected rheumatic fever
Question 2 of 5
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. What should the nurse respond?
Correct Answer: B
Rationale: An ASO titer confirms recent streptococcal infection, a precursor to rheumatic fever, by detecting streptolysin O antibodies.
Extract:
Adolescent with spina bifida, paralyzed from the waist down
Question 3 of 5
A nurse is caring for an adolescent with spina bifida who is paralyzed from the waist down. Which of the following client statements should alert the nurse to the need for further education?
Correct Answer: A
Rationale: Catheterization every 3-4 hours is needed to prevent urinary tract infections, indicating a need for further education.
Extract:
Adolescent with sickle cell disease, pain rated 9/10
Question 4 of 5
A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening. The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900. The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| A. Intravenous fluids (IVF) at maintenance rate | |||
| B. Meperidine IV for pain | |||
| C. Ice packs to the affected area for 15 min on/15 min off | |||
| D. Oxygen 2 L/min via nasal cannula |
Correct Answer: A(Anticipated), B(Contraindicated), C(nonessential), D(Anticipated)
Rationale: IV fluids and oxygen are anticipated to prevent sickling; meperidine is contraindicated due to seizure risk; ice packs are nonessential as they may worsen sickling.
Extract:
Newborn born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight
Question 5 of 5
A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. How should the nurse classify this neonate based on the weight and gestational age?
Correct Answer: B
Rationale: A weight in the 60th percentile at 38 weeks classifies the neonate as appropriate for gestational age (10th-90th percentile).