ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
The client is being rushed into the labor and delivery unit.
Question 1 of 5
At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)
Correct Answer: B
Rationale: Immediately prior to birth, the fetus is typically at 0 station (level with the ischial spines), indicating engagement in the pelvis.
Extract:
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.
Question 2 of 5
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.
Correct Answer: A
Rationale: GTPAL: Gravida 4 (4 pregnancies), Term 1 (38 weeks), Preterm 1 (26 weeks), Abortions 1 (miscarriage), Living 1 (one living child). Thus, 4, 1, 1, 1 is correct.
Extract:
A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
Question 3 of 5
What might you expect to find in the mother's pregnancy history?
Correct Answer: D
Rationale: Chronic alcohol use during pregnancy can cause Fetal Alcohol Syndrome, matching the described symptoms (growth issues, cognitive deficits, facial anomalies).
Extract:
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?'
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A newborn wetting 6 to 12 diapers per day indicates adequate milk intake via hydration. Wake cycles, sleep duration, and burping aren't direct indicators.
Extract:
A nurse is assessing a postpartum woman.
Question 5 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase. Talking about the birth is the taking-in phase; pain and rocking aren't specific indicators.