ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 1 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Low birth weight. Newborns born with low birth weight are at increased risk for various health issues, such as respiratory distress, feeding difficulties, and developmental delays. This is because they may not have developed fully in the womb, leading to potential complications post-birth. Hyperactivity (choice
A), craniofacial abnormalities (choice
B), and hypersensitivity to noise (choice
C) are not typically associated with low birth weight.
Therefore, the correct choice is D as it aligns with the known risks associated with newborns of low birth weight.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about the baby being able to lose 10% of their birth weight and should return to birth weight by 7-14 days of age. This is important information as it indicates normal weight fluctuations in newborns. It is normal for babies to lose weight initially after birth and then regain it within the first two weeks. This information reassures parents about their baby's growth and development.
Choice A is incorrect because a newborn should have at least 6-8 wet diapers per day to indicate adequate hydration.
Choice B is incorrect as babies should feed approximately 8-12 times a day, not constantly.
Choice C is incorrect as babies should gain about 0.5-1 oz per day, not just 0.25 oz.
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reinforce instruction about insulin administration. This is the most appropriate action as it directly addresses the management of diabetes by ensuring proper insulin dosage and administration. This is crucial for controlling blood sugar levels. Option A is incorrect because increasing carbohydrates may worsen blood sugar control. Option C is unnecessary as the client likely already has a diagnosis of diabetes. Option D is not the immediate priority as it measures long-term glucose control, not immediate insulin administration.
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 4 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: The correct answer is C: Lecithin/sphingomyelin (L/S) ratio of 2:1 indicates fetal lung maturity. This ratio reflects the presence of surfactant in the amniotic fluid, which is crucial for lung expansion and gas exchange. A ratio of 2:1 suggests that the fetal lungs are producing enough surfactant, indicating maturity. Absence of phosphatidylglycerol (choice
A) is a sign of immaturity. Biophysical profile score (choice
B) and nonstress test (choice
D) are assessments of fetal well-being, not lung maturity.
Extract:
Parents of a newborn about caring for the umbilical cord stump.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because giving the newborn a sponge bath until the cord stump falls off helps prevent infection and promotes healing. Wrapping the cord in petroleum jelly gauze (
B) can trap moisture, leading to infection. Washing the cord daily with mild soap and water (
C) can be too harsh and disrupt the natural healing process. Covering the cord with the diaper (
D) can also trap moisture and increase infection risk.