ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Question 1 of 5
What is the most significant risk factor for clubfoot?
Correct Answer: A
Rationale: Maternal smoking during pregnancy is strongly associated with clubfoot, likely affecting fetal muscle and tendon development. Trauma, hypertension, and decreased circulation lack evidence as significant risk factors for this congenital condition.
Extract:
Client 2 hr post vaginal birth
Question 2 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take?
Correct Answer: A,B,D
Rationale: Documenting fundal height, observing lochia, and checking fundal position monitor uterine involution and bleeding risk. Massaging a firm fundus is unnecessary, and terbutaline is inappropriate for a boggy fundus.
Extract:
Client with suspected hydatidiform mole
Question 3 of 5
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
Correct Answer: D
Rationale: Excessive uterine enlargement is a key sign of hydatidiform mole due to trophoblastic tissue overgrowth. Fetal heart rate irregularities are absent as there's typically no viable fetus, and hCG levels are high, not dropping. Bleeding, not whitish discharge, is common.
Extract:
Client at 24 weeks gestation
Question 4 of 5
A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?
Correct Answer: B
Rationale: Racquetball is high-impact and risks injury or premature labor due to sudden movements and fall risks, indicating a need for further teaching. Swimming, stationary cycling, and yoga (with precautions) are safe and beneficial during pregnancy.
Extract:
Newborn immediately following delivery
Question 5 of 5
A nurse is caring for a newborn immediately following delivery. After assuring a patent airway, which of the following actions should be the nurse's priority?
Correct Answer: A
Rationale: Drying the newborn prevents cold stress by reducing evaporative heat loss, which can lead to hypoxia and other complications. Administering phytonadione, documenting the Apgar score, and applying identification bands are important but not immediate priorities compared to thermoregulation.