ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: A
Rationale: The correct answer is A: A client who is experiencing preterm labor at 26 weeks of gestation.
Tocolytic therapy is used to inhibit uterine contractions and delay preterm labor. Administering tocolytic therapy to a client experiencing preterm labor at 26 weeks helps prevent premature birth and its associated complications.
Choices B, C, and D are incorrect because Braxton-Hicks contractions at 36 weeks, post-term pregnancy at 42 weeks, and fetal death at 32 weeks do not warrant tocolytic therapy as they are not indicative of preterm labor.
Question 2 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: The correct answer is A: Drying the newborn's skin thoroughly. When a newborn is born, they are wet and evaporative heat loss occurs as the moisture on their skin evaporates, leading to cooling. Drying the newborn's skin thoroughly helps reduce this heat loss by preventing the moisture from evaporating. Preventing air drafts (
B) and placing the newborn on a warm surface (
C) can help with overall thermal regulation but do not specifically target evaporative heat loss. Maintaining ambient room temperature at 24°C (75.2°F) (
D) is important for thermoregulation but does not directly address evaporative heat loss.
Question 3 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: The correct answer is A: Observe for meconium in respiratory secretions. This is important because infants who are small for gestational age (SG
A) are at increased risk for meconium aspiration syndrome due to their underdeveloped lungs. Meconium in respiratory secretions can lead to respiratory distress and requires immediate intervention.
Choice B, monitoring for hyperthermia, is incorrect as it is not specifically related to SGA infants.
Choice C, identifying manifestations of anemia, is also incorrect as SGA infants may have normal hematologic parameters.
Choice D, monitoring for hyperglycemia, is not directly associated with SGA infants and is more relevant to infants of diabetic mothers.
Question 4 of 5
After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn on a warm crib pad. This helps prevent heat loss via conduction by providing a warm surface for the newborn to rest on, minimizing direct contact with a colder surface. Drying the newborn with a warm blanket (choice
A) can help prevent heat loss via evaporation, not conduction. Closing the doors to the delivery room (choice
B) may help maintain room temperature but does not directly prevent heat loss via conduction. Wrapping the newborn in a blanket (choice
C) helps prevent heat loss via radiation, not conduction.
Question 5 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 correct answer is A because the indirect Coombs test detects Rh-positive antibodies in the mother's blood. In Rh incompatibility, Rh-negative mothers can develop antibodies against Rh-positive fetal blood, which can lead to hemolytic disease of the newborn. This test helps identify the presence of these antibodies to prevent harm to the newborn.
Choice B is incorrect because the test is done on the mother's blood, not the newborn's.
Choice C is incorrect as it refers to the wrong blood type.
Choice D is incorrect as kernicterus is related to severe jaundice, not Rh incompatibility.