ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn
Question 1 of 5
Which assessment findings may cause the nurse to suspect a brachial plexus injury?
Correct Answer: B
Rationale: Absent Moro reflex on one side suggests brachial plexus injury (e.g., Erb's palsy), impairing arm movement. Hypotonia, crying, and tremors are less specific, indicating other possible issues.
Extract:
Client with suspected hydatidiform mole
Question 2 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:
Newborn
Question 3 of 5
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically has two arteries and one vein. The vein carries oxygenated blood to the fetus, and the arteries return deoxygenated blood. Other configurations are rare and often associated with anomalies.
Extract:
Newborn delivered by vacuum extraction, swelling on head crossing suture line
Question 4 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.
Extract:
Patient at 30 weeks gestation, hopes for awake and alert baby
Question 5 of 5
The LPN is discussing childbirth classes with a patient who is 30 weeks gestation. The patient shares that she hopes to deliver a baby who is awake and alert. The LPN is aware of Lamaze and Bradley classes being offered. For which reasons would the LPN recommend Bradley classes to this patient?
Correct Answer: A,C
Rationale: The Bradley method emphasizes partner coaching and unmedicated birth, aligning with an alert baby goal. Pain control variety and muscle focus are more Lamaze traits, and Bradley isn't the most used method.