ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?
Correct Answer: B
Rationale: The correct answer is B: Follows objects with eyes. At 2 months, infants should be able to track and follow objects with their eyes, showing visual tracking skills. This is a crucial developmental milestone indicating healthy visual development. Grasping objects typically develops around 3-4 months, laughing and squealing around 4-6 months, and rolling from back to side around 4-5 months.
Therefore, choices A, C, and D are incorrect as they represent skills that typically develop later in infancy.
Question 2 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 3 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: B
Rationale: The correct answer is B: 3 cm above the umbilicus. At 22 weeks of gestation, the fundus should be palpable at approximately the level of the umbilicus or slightly above. As the uterus grows with the developing fetus, the fundal height increases. This location corresponds to the expected fundal height for a pregnancy at 22 weeks.
Choice A (Slightly above the umbilicus) is incorrect as it does not specify the exact measurement.
Choices C (3 cm below the umbilicus) and D (Slightly below the umbilicus) are incorrect because the fundus should be higher at 22 weeks.
Question 4 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Place the client in a lateral position. This is the priority action because the client's low blood pressure (92/54 mm Hg) indicates hypotension, which could be causing decreased perfusion to the fetus. Placing the client in a lateral position can help improve blood flow to the placenta and fetus. This position can also help alleviate pressure on the vena cava, improving maternal cardiac output.
Choice A (Have the client void) is not the priority action in this case as the client's vital signs indicate a more urgent concern related to hypotension and fetal well-being.
Choice B (Ask the client if she needs pain medication) is not the priority as addressing pain relief is important but not as urgent as addressing potential hypotension.
Choice C (Notify the provider of the findings) may be necessary but is not the immediate priority.
In summary, placing the client in a lateral position is the priority action to address hypotension
Question 5 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's feelings as normal and validates her experience. It reassures her that having doubts during early pregnancy is common, helping her feel understood and supported.
Choice B suggests seeking counseling prematurely and may make the client feel her feelings are abnormal.
Choice C dismisses her concerns and minimizes her emotions.
Choice D assumes the client hasn't explored other supportive avenues and may not be relevant to her situation.