ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation.
Question 1 of 5
What should the nurse document as the newborn's 5 min Apgar score?
Correct Answer: C
Rationale: The correct answer is C (9) for the newborn's 5 min Apgar score. The Apgar score assesses the newborn's health at 1 and 5 minutes after birth based on appearance, pulse, grimace, activity, and respiration. A score of 9 indicates the newborn is in good health with minor signs of distress, such as a slightly pale body color or weak cry. A score of 10 would be rare and signifies excellent health.
Choices A (5) and B (7) indicate a lower score, which would suggest more significant signs of distress.
Therefore, choice C (9) is the most appropriate score based on the guidelines for assessing newborn health.
Extract:
A client who is postpartum.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.
Extract:
A client who is breastfeeding her newborn.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Drink enough decaffeinated fluids to quench your thirst. This is important to prevent dehydration, especially with increased folic acid intake.
Choice A is incorrect as protein is necessary for health.
Choice B is not specific to the scenario.
Choice C is not directly related to the situation. It is important to ensure adequate fluid intake while avoiding caffeine due to its diuretic effect.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because it provides accurate information about newborn weight loss and gain. Newborns can lose up to 10% of their birth weight in the first few days, but they should regain it by 7-14 days. This information reassures parents that weight loss is normal and temporary. Option A is incorrect as newborns should have at least 6 wet diapers a day. Option B is incorrect as newborns feed frequently, not constantly, in the first week. Option C is incorrect as infants should gain 0.5-1 oz (15-30 grams) per day, not 0.25 oz.
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.