ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client with breastfeeding her newborn.
Question 1 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: B
Rationale: The correct answer is B: Rooting. Rooting reflex is the automatic turning of an infant's head towards the stimulus of cheek being touched, which helps initiate sucking. This reflex is crucial for breastfeeding and bottle feeding. Babinski reflex (
A) is a response of the toes when the sole of the foot is touched, not related to sucking.
Stepping reflex (
C) is when the baby makes stepping movements when held upright, not related to sucking. Moro reflex (
D) is the startle reflex in response to a sudden noise or movement, not related to sucking.
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 client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 3 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: The correct answer is D: Fetal position is persistent occiput posterior. This position, where the back of the baby's head is towards the mother's spine, can lead to difficult and prolonged labor due to the baby facing the wrong way, causing more pressure on the mother's back and slowing down the descent through the birth canal. A persistent occiput posterior position can result in increased pain, labor duration, and the need for interventions like forceps or vacuum extraction.
A: Fetal lie being longitudinal is a normal position.
B: Fetal attitude in general flexion is also a normal position.
C: Maternal pelvis being gynecoid is the most favorable for labor.
E, F, G:
Choices are not provided.
Extract:
A newborn who is small for gestational age (SGA).
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Blood glucose instability. In diabetes, fluctuations in blood glucose levels are common due to inadequate insulin production or utilization. This can lead to hyperglycemia or hypoglycemia. The nurse should expect this finding as it is a hallmark of diabetes management. Retinopathy (
A) is a complication of long-standing uncontrolled diabetes, not an immediate finding. Decreased circulating RBC (
B) is not directly related to diabetes but can be seen in conditions like anemia. A well-rounded abdomen (
C) is a vague finding and not specific to diabetes.
Extract:
A newborn who is 48 hours old.
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: Jaundiced skin and yellow tinge to the sclera. This finding indicates elevated bilirubin levels, which could be a sign of liver dysfunction or hemolysis. It needs immediate medical attention to prevent complications like kernicterus.
A: Erythema toxicum is a common benign rash in newborns, not requiring immediate reporting.
C: Mongolian spot is a harmless birthmark common in infants of certain ethnicities, not requiring urgent reporting.
D: Telangiectatic nevi are small, benign blood vessels on the skin, not needing immediate reporting.