ATI RN
Custom ATI Maternity Final 2023 Questions
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 1 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movement by the mother, typically around 18-20 weeks of pregnancy. It is an important milestone in prenatal care. Balottement (
A) is a technique used in physical examination, not a term for documenting fetal movement. Fluttering (
B) is a vague description and not a precise term used in healthcare. Chloasma (
C) is a skin condition commonly known as the "mask of pregnancy" and is unrelated to fetal movement.
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 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 3 of 5
Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Elevate the leg. Elevating the leg helps reduce swelling by promoting venous return and reducing fluid accumulation. It improves circulation and reduces pressure on blood vessels. Cold compresses (
A) can help with acute pain but do not address swelling. Massaging the area (
B) can worsen swelling and should be avoided. Flexing the knee while resting (
C) may not be appropriate if there is swelling or pain. Elevation is a key intervention to manage swelling and promote healing.
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 4 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 weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus.
Question 5 of 5
For which of the following data should the nurse monitor?
Correct Answer: C
Rationale: The nurse should monitor for hypoglycemia because it is a life-threatening condition characterized by low blood sugar levels, which can lead to neurological symptoms and even coma. Monitoring glucose levels is crucial to prevent complications. Hypercalcemia (choice
A) is high calcium levels, not typically a priority in this scenario. Decreased RBC (choice
B) relates to anemia, which may require monitoring but is not as urgent as hypoglycemia. Hyperbilirubinemia (choice
D) is high bilirubin levels, primarily concerning liver function, but not as critical as hypoglycemia.