ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus.
Question 1 of 5
For which of the following data should the nurse monitor?
Correct Answer: C
Rationale: The nurse should monitor for hypoglycemia because it is a life-threatening condition characterized by low blood sugar levels, which can lead to neurological symptoms and even coma. Monitoring glucose levels is crucial to prevent complications. Hypercalcemia (choice
A) is high calcium levels, not typically a priority in this scenario. Decreased RBC (choice
B) relates to anemia, which may require monitoring but is not as urgent as hypoglycemia. Hyperbilirubinemia (choice
D) is high bilirubin levels, primarily concerning liver function, but not as critical as hypoglycemia.
Extract:
A client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. The nurse should expect pelvic pain in a patient with an ectopic pregnancy. This is because as the ectopic pregnancy grows outside the uterus, it can cause pain in the pelvic area. Copious vaginal bleeding (choice
A) is more commonly associated with miscarriage or placental abruption. Severe nausea and vomiting (choice
C) can occur in normal pregnancy or conditions like hyperemesis gravidarum, but it is not specific to ectopic pregnancy. Uterine enlargement greater than expected for gestational age (choice
D) would typically be seen in intrauterine pregnancies, not ectopic pregnancies.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because it provides accurate information about newborn weight loss and gain. Newborns can lose up to 10% of their birth weight in the first few days, but they should regain it by 7-14 days. This information reassures parents that weight loss is normal and temporary. Option A is incorrect as newborns should have at least 6 wet diapers a day. Option B is incorrect as newborns feed frequently, not constantly, in the first week. Option C is incorrect as infants should gain 0.5-1 oz (15-30 grams) per day, not 0.25 oz.
Extract:
A client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 4 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Low birth weight. Newborns born with low birth weight are at increased risk for various health issues, such as respiratory distress, feeding difficulties, and developmental delays. This is because they may not have developed fully in the womb, leading to potential complications post-birth. Hyperactivity (choice
A), craniofacial abnormalities (choice
B), and hypersensitivity to noise (choice
C) are not typically associated with low birth weight.
Therefore, the correct choice is D as it aligns with the known risks associated with newborns of low birth weight.
Extract:
A client who is 2 days postpartum.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: If you breastfeed your newborn, expect two to three stools per day. This statement should be included in the teaching because it provides important information about what to expect in terms of newborn bowel movements when breastfeeding. Breastfed babies typically have more frequent stools compared to formula-fed babies.
Choice A is incorrect because feeding a newborn formula every 2 hours can lead to overfeeding and digestive issues.
Choice B is incorrect as it does not specify the frequency of breastfeeding required for newborns.
Choice C is incorrect because formula-fed newborns usually have more regular bowel movements.