ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 1 of 5
Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Elevate the leg. Elevating the leg helps reduce swelling by promoting venous return and reducing fluid accumulation. It improves circulation and reduces pressure on blood vessels. Cold compresses (
A) can help with acute pain but do not address swelling. Massaging the area (
B) can worsen swelling and should be avoided. Flexing the knee while resting (
C) may not be appropriate if there is swelling or pain. Elevation is a key intervention to manage swelling and promote healing.
Extract:
A client who is 2 days postpartum.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Breastfed newborns typically have 2-3 stools per day, indicating adequate feeding and hydration. This statement is crucial for the nurse to include in teaching to educate the parent on what to expect.
Choice A is incorrect as formula-fed newborns usually feed every 3-4 hours, not every 2 hours.
Choice B is incorrect as newborns should breastfeed 8-12 times a day, not just 5-7.
Choice C is incorrect because formula-fed newborns typically have 1-2 stools per day, not every 3 days.
Extract:
A client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 3 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: The correct answer is C because Rho(
D) Immune globulin is administered to Rh-negative individuals to prevent sensitization to Rh-positive blood. This is crucial in preventing hemolytic disease of the newborn in future pregnancies.
Choice A is incorrect as the desire to conceive does not warrant the administration of Rho(
D) Immune globulin.
Choice B is incorrect because having previously given birth to an Rh-negative infant does not necessitate the administration of Rho(
D) Immune globulin.
Choice D is incorrect as significant blood loss during a procedure does not directly relate to the need for Rho(
D) Immune globulin.
Extract:
A newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation.
Question 4 of 5
What should the nurse document as the newborn's 5 min Apgar score?
Correct Answer: C
Rationale: The correct answer is C (9) for the newborn's 5 min Apgar score. The Apgar score assesses the newborn's health at 1 and 5 minutes after birth based on appearance, pulse, grimace, activity, and respiration. A score of 9 indicates the newborn is in good health with minor signs of distress, such as a slightly pale body color or weak cry. A score of 10 would be rare and signifies excellent health.
Choices A (5) and B (7) indicate a lower score, which would suggest more significant signs of distress.
Therefore, choice C (9) is the most appropriate score based on the guidelines for assessing newborn health.
Extract:
A client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A: "This is expected because of the way iron is broken down during digestion." This response by the nurse shows understanding of the situation and provides a clear explanation for the patient's symptoms. It reassures the patient that the situation is normal and not a cause for concern. Option B is incorrect as it suggests unnecessary urgency. Option C is irrelevant to the situation at hand. Option D is a vague response that does not address the patient's concern directly.