ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A preterm newborn.
Question 1 of 5
To help the newborn conserve energy, which of the following actions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Cluster the newborn's care activities. Clustering care activities involves grouping tasks together to minimize disruptions to the newborn's rest and sleep, thus conserving energy. This approach reduces the frequency of handling and stimulation, promoting better rest and recovery for the newborn. Placing elbow restraints (
A) can be distressing and restrict movement. Allowing opportunities for massage (
B) may be beneficial but does not directly address energy conservation. Changing the newborn's position every 2 hours (
D) is important for preventing pressure ulcers but does not specifically target energy conservation.
Extract:
A newborn immediately after delivery by a client who was at 42 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: Dry, cracked skin. During late pregnancy, the skin may become dry and cracked due to stretching and hormonal changes, leading to decreased sebum production. This can result in itchiness and discomfort. Increased subcutaneous fat (
A) is a common finding in pregnancy, not necessarily late pregnancy. Copious vernix (
C) is a waxy substance found on newborns, not typically present on pregnant women. Scant scalp hair (
D) is unrelated to skin changes in late pregnancy.
Extract:
A client who is in labor.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fetal heart rate 100/min for a 10-minute period. This finding indicates fetal bradycardia, which can be a sign of fetal distress. It is crucial to report this to the provider promptly for further evaluation and intervention to ensure the well-being of the fetus.
Incorrect choices:
A: Four contractions in a 10-minute period - This is within the normal range of contractions and does not necessarily indicate a problem.
C: Contraction lasting 85 seconds - Although prolonged contractions can be concerning, the duration alone may not always require immediate reporting.
D: Contraction resting period 35 seconds - The rest period between contractions is important, but this specific duration may not be alarming enough to warrant immediate reporting.
Extract:
A client who is at 24 weeks of gestation.
Question 4 of 5
Which of the following statements indicates a need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because participating in a game of racquetball once a week may pose a risk of injury due to the high-intensity nature of the sport. Daily swimming (
A), daily cycling (
C), and attending a yoga class three times per week (
B) are generally considered safe and low-impact activities.
Therefore, D indicates a need for additional teaching to emphasize the importance of choosing appropriate exercise intensity levels to prevent injuries.
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to position the client on her side (
Choice
A). This is because positioning the client on her side helps prevent aspiration in case of vomiting and promotes optimal lung expansion for better oxygenation. It also helps in maintaining a patent airway. Increasing the infusion rate of IV fluid (
Choice
B) may exacerbate fluid overload and is not a priority. Elevating the client's legs (
Choice
C) is not indicated unless specifically ordered for a particular condition. Administering oxygen via face mask (
Choice
D) may be necessary but ensuring a patent airway and preventing aspiration takes precedence.