ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 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 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 in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Increased progesterone production causes decreased motility of smooth muscle. Progesterone, a hormone produced during pregnancy, relaxes smooth muscle including the lower esophageal sphincter, leading to reflux and heartburn. This is a common cause of heartburn in pregnant women.
Choice B is incorrect because although the growing uterus can contribute to heartburn by displacing the stomach, it is not the primary cause.
Choice C is incorrect because increased estrogen production does not directly cause increased secretion of hydrochloric acid, which is more related to progesterone levels.
Choice D is incorrect because retained bile in the liver does not play a significant role in causing heartburn.
Question 4 of 5
A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?
Correct Answer: A
Rationale: The correct answer is A: Urine output. Desmopressin is a synthetic form of vasopressin used to manage diabetes insipidus. Monitoring urine output is crucial as desmopressin helps to reduce excessive urination by increasing water reabsorption in the kidneys.
Therefore, a decrease in urine output indicates the effectiveness of the medication. Pupillary response (
B), temperature (
C), and apical heart rate (
D) are not directly related to the mechanism of action of desmopressin and would not provide accurate assessment of its effectiveness.
Question 5 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Consume foods fortified with folic acid. Folic acid is crucial for preventing neural tube defects in newborns. It helps in the proper development of the baby's brain and spinal cord. Iron-rich foods (choice
A) are important for overall health but do not directly prevent neural tube defects. Limiting alcohol consumption (choice
C) is essential, but it does not specifically address neural tube defects. Avoiding foods containing aspartame (choice
D) is unrelated to preventing neural tube defects. In summary, choice B is correct as folic acid plays a significant role in reducing the risk of neural tube defects, while the other choices do not directly address this specific concern.