ATI RN
ATI Maternity Nur230 Questions
Extract:
Primigravida at 42 weeks of gestation who believes she is in labor
Question 1 of 5
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: A
Rationale: Cervical dilation is a definitive sign of labor progression, confirming the onset of labor.
Extract:
Infant diagnosed with Tetralogy of Fallot, feeding poorly and has difficulty gaining weight
Question 2 of 5
A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant has been feeding poorly and has difficulty gaining weight. What actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E
Rationale: Knee-chest positioning improves lung blood flow, and digoxin strengthens heart function, addressing symptoms of Tetralogy of Fallot.
Extract:
Child who has Kawasaki disease
Question 3 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: D
Rationale: Kawasaki disease primarily affects the cardiovascular system, causing vasculitis and potential heart complications, requiring close monitoring.
Extract:
Preschooler's arm for applying a cast
Question 4 of 5
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Supporting the casted arm prevents movement, ensuring proper cast positioning and reducing discomfort.
Extract:
Infant's vital signs
Question 5 of 5
A nurse is preparing to measure an infant's vital signs. Which of the following sites should the nurse use to assess the heart rate?
Correct Answer: C
Rationale: The apical pulse at the heart's apex provides the most accurate heart rate assessment in infants.