Questions 53

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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 at 38 weeks of gestation and has a positive contraction stress test.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: This statement is true. A positive contraction stress test indicates that the fetal heart rate shows signs of deceleration or distress during uterine contractions. This can be a sign of placental insufficiency, fetal hypoxia, or cord compression. The nurse should prepare the client for admission to the hospital for further evaluation and possible delivery.

Extract:

A newborn immediately after delivery by a client who was at 42 weeks of gestation.


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: This statement is true. Dry, cracked skin is a finding that is expected for a post-term newborn. This is because the amniotic fluid volume decreases as the pregnancy progresses beyond the due date, and the skin loses its moisture and elasticity.

Extract:

A client who is postpartum.


Question 4 of 5

Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: This statement is true. Immersing the newborn's abdomen in water can cause the cord to become wet and increase the risk of infection. The nurse should advise the client to give the newborn a sponge bath until the cord is dry and falls off.

Extract:

A newborn.


Question 5 of 5

Which of the following actions should the nurse take to elicit the newborn's Moro reflex?

Correct Answer: B

Rationale: This statement is true. Holding the newborn vertically, allowing one foot to touch the crib surface, and then lowering the newborn slightly elicits the Moro reflex. The Moro reflex is when the newborn extends the arms and legs, opens the hands, and then draws the arms together as if embracing.

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