ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 40 weeks of gestation.
Question 1 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:
Choice C reason: This statement is true. Fetal motion is one of the parameters of the biophysical profile. It assesses the activity and movement of the fetus. It indicates the fetal well-being and neurological development.
Choice D reason: This statement is true. Amniotic fluid volume is one of the parameters of the biophysical profile. It measures the amount of fluid surrounding the fetus. It indicates the fetal kidney function and placental function.
Choice E reason: This statement is true. Fetal breathing is one of the parameters of the biophysical profile. It evaluates the movement of the chest and diaphragm of the fetus. It indicates the fetal lung maturity and oxygenation.
Extract:
A client who is in labor.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: This statement is true. Fetal heart rate 100/min for a 10-minute period is an abnormal finding for a client who is in labor. It indicates that the fetus is bradycardic, which means the heart rate is below the normal range of 110 to 160/min. This can be a sign of fetal distress, hypoxia, or cord compression. The nurse should report this finding to the provider and intervene to improve the fetal oxygenation and circulation.
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 3 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: This statement is true. L/S ratio is a test that measures the amount of two surfactants, lecithin and sphingomyelin, in the amniotic fluid. Surfactants are substances that reduce the surface tension of the alveoli and prevent them from collapsing. A ratio of 2:1 or higher indicates that the fetal lungs are mature and can produce enough surfactant.
Extract:
A client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day.
Question 4 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: This statement is true. Quickening is the term used to describe the first perception of fetal movement by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.
Extract:
A client is concerned that her newborn has "crossed eyes."
Question 5 of 5
Which of the following statements is a therapeutic response by the nurse?
Correct Answer: C
Rationale: This statement is therapeutic. It provides factual information and education about the normal development of the newborn's eyes. It also reassures the client that the condition is temporary and not a cause for concern.