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 who is at 40 weeks of gestation.
Question 2 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct parameters are C (Fetal motion), D (Amniotic fluid volume), and E (Fetal breathing). Fetal motion is important for assessing fetal well-being and development. Amniotic fluid volume is crucial for monitoring fetal growth and preventing complications. Fetal breathing indicates lung development and overall fetal health. Nuchal translucency and fetal gender are not part of this profile. Fetal gender is typically determined through other methods. Nuchal translucency is associated with genetic abnormalities, but it is not included in this specific profile.
Extract:
A newborn.
Question 3 of 5
Which of the following actions should the nurse take to elicit the newborn's Moro reflex?
Correct Answer: B
Rationale: The correct answer is B.
To elicit the Moro reflex, the nurse should hold the newborn vertically, allowing one foot to touch the crib surface. This action mimics the sensation of falling, triggering the Moro reflex which is characterized by the newborn's arms and legs extending outward and then coming back toward the body. This reflex is a normal response seen in healthy newborns and helps to assess their neurological development. Turning the newborn's head quickly to one side (
A) may elicit the tonic neck reflex, performing a sharp hand clap near the infant (
C) may startle the newborn but not specifically elicit the Moro reflex, and placing a finger at the base of the newborn's toes (
D) may trigger the Babinski reflex.
Extract:
A client who is at 40 weeks of gestation.
Question 4 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer is C, D, and E. Fetal motion (
C) is important for assessing fetal well-being and development. Amniotic fluid volume (
D) is crucial for monitoring fetal growth and health. Fetal breathing (E) indicates proper lung development. Nuchal translucency (
A) is mainly used for early detection of chromosomal abnormalities, not for profile evaluation. Fetal gender (
B) is not a parameter included in a fetal profile assessment.
Extract:
A client who is in labor.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fetal heart rate 100/min for a 10-minute period. This finding indicates fetal bradycardia, which could be a sign of fetal distress and requires immediate provider notification.
Choice A is within normal limits.
Choice C is a prolonged contraction but not an immediate concern.
Choice D is a normal resting period between contractions. No additional choices provided.