ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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: At 35 weeks, the baby is preterm (before 37 weeks). An 8-pound 15-ounce weight is average for gestational age (AG
A), within the 10th-90th percentiles. The baby is not small for gestational age, term, or post-term.
Question 2 of 5
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, “How will I know if my baby gets enough breast milk?” Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Wet diapers (6-8/day) indicate adequate breast milk intake. Wake cycles vary, burping aids digestion but not intake assessment, and long sleep intervals may suggest insufficient feeding in newborns.
Question 3 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: Routine hearing screenings (OAE or AABR) are performed before hospital discharge to detect hearing issues early, critical for speech development. Genetic hearing loss is significant, clapping isn’t reliable, and visual cues don’t confirm hearing.
Question 4 of 5
A nurse in a provider’s office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Ultrasound before amniocentesis locates the placenta and fetus to guide safe needle insertion. Estimating fetal age, screening for spina bifida, or detecting multiples are secondary, not primary purposes.
Question 5 of 5
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects Rh-positive antibodies in the mother’s blood, assessing sensitization risk for future pregnancies. It’s performed on maternal blood, not newborn’s, and doesn’t assess kernicterus risk.