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: This statement is correct. Low birth weight is a common and serious effect of smoking during pregnancy. Smoking during pregnancy can reduce the amount of oxygen and nutrients that reach the fetus, and cause tissue damage in the fetus, especially in the lungs and brain.
Extract:
A client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: This statement is true. Betamethasone is a corticosteroid that stimulates the maturation of the fetal lungs and increases the synthesis of surfactant. It is given to the mother 24 to 48 hours before the expected preterm delivery to reduce the incidence and severity of neonatal respiratory distress syndrome and other morbidities.
Extract:
A client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 3 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: This statement is correct. The client's Rh-negative blood type is a valid indication for administering Rho(
D) Immune globulin. Rho(
D) Immune globulin is given to Rh-negative clients who have had an ectopic pregnancy or a miscarriage to prevent them from developing antibodies against Rh-positive blood, which could cause problems in future pregnancies.
Extract:
A newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This statement is true. A caput succedaneum is a localized swelling of the scalp that occurs due to the compression of the head during delivery. It can cross the suture lines and affect any part of the head. It usually resolves within a few days without treatment.
Extract:
A client who is at 40 weeks of gestation.
Question 5 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.