ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: B
Rationale:
Rationale:
Choice B is correct because routine hearing screenings for newborns are a standard practice to assess hearing ability. This screening is important for early detection and intervention if hearing loss is present. The other choices are incorrect because: A dismisses the client's concerns and provides inaccurate information, C is not a reliable method to assess hearing, and D, while somewhat accurate, does not provide a definitive assessment like a hearing screening would.
Question 3 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: A caput succedaneum will subside in a few days. A caput succedaneum is a diffuse swelling of the scalp that occurs due to pressure on the baby's head during labor. It typically resolves on its own within a few days. In this scenario, since the swelling crosses the suture line, it is likely a caput succedaneum. Palpation of the swelling helps to differentiate it from cephalohematoma, which is confined by suture lines.
Choice A is incorrect because a cephalohematoma is a collection of blood between the periosteum and skull bone, not the same as caput succedaneum.
Choices C and D are incorrect as they refer to different conditions unrelated to the swelling on the newborn's head.
Question 4 of 5
An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
Correct Answer: C,D
Rationale: The correct answer is C and D.
Choice C, "Preterm," is correct because a baby born at 35 weeks' gestation is considered preterm, as full term is typically around 39-40 weeks.
Choice D, "Average for gestational age," is also correct because the baby's weight falls within the normal range for babies born at 35 weeks.
Choice A, "Small for gestational age," is incorrect as the baby's weight is appropriate for its gestational age.
Choice B, "Term," is incorrect because 35 weeks is considered preterm.
Choice E, "Post term," is incorrect as it refers to a baby born after 42 weeks' gestation.
Question 5 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: The correct answer is B. Deep tendon reflexes of 1+ are inconsistent with preeclampsia. In preeclampsia, deep tendon reflexes are typically hyperactive (3+ or 4+). This is due to the central nervous system irritability caused by hypertension.
Therefore, a reflex of 1+ suggests normal reflexes, which is not expected in preeclampsia. Other choices A, C, and D are consistent with preeclampsia. Proteinuria (choice
A) is a hallmark sign of preeclampsia. Elevated blood pressure (choice
C) is a common finding in preeclampsia. Pitting edema (choice
D) is also commonly observed in preeclampsia due to fluid retention.