Questions 119

ATI RN

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ATI Maternity Exam 3 Questions

Extract:

A term newborn weighing 4 pounds 5 ounces assessed as small for gestational age (SGA).


Question 1 of 5

A term newborn weighs 4 pounds 5 ounces. The nurse assesses that this newborn is small for gestational age (SGA). The nurse knows that teaching has been effective when the parents state:

Correct Answer: D

Rationale: SGA newborns face risks like hypothermia, hypoglycemia, and respiratory issues, which parents correctly identify, unlike misconceptions about size or hospital stay.

Extract:

The nurse is performing a newborn physical assessment.


Question 2 of 5

The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?

Correct Answer: B

Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.

Extract:

A client 4 months pregnant at her initial prenatal visit.


Question 3 of 5

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

Correct Answer: C

Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.

Extract:

A newborn at 36 weeks' gestation with nasal flaring, labored breathing, and excessive mucus.


Question 4 of 5

The nurse assesses a newborn at 36 weeks' gestation, and the following behaviors are noted: nasal flaring, labored breathing, and excessive mucus. The nurse is most concerned about:

Correct Answer: D

Rationale: These symptoms in a preterm newborn suggest RDS due to surfactant deficiency, a serious condition requiring urgent intervention, unlike the less likely or unrelated other options.

Extract:

A client who delivered a healthy term newborn via cesarean birth


Question 5 of 5

A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, 'Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?

Correct Answer: D

Rationale: The incision type, like low transverse, determines VBAC eligibility. Repeat cesareans aren't always safer, deferring entirely to the doctor avoids education, and dismissing concerns is unhelpful.

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