ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn immediately following a cesarean delivery.
Question 1 of 5
The nurse's highest priority is to monitor the newborn for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. The nurse's highest priority is to monitor the newborn for respiratory distress because it is a life-threatening condition that requires immediate intervention. Respiratory distress can manifest as tachypnea, retractions, grunting, or cyanosis, indicating inadequate oxygenation. Addressing respiratory distress promptly is crucial to prevent further complications such as hypoxia or respiratory failure. Kernicterus (
A) is a complication of severe jaundice, ABO incompatibility (
B) can lead to hemolysis but does not require immediate intervention, and renal impairment (
C) may not present with acute symptoms in a newborn.
Extract:
A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 2 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 3 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 4 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 5 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.