ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is assessing a postpartum woman.
Question 1 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: The correct answer is A because doing perineal care independently indicates the woman is transitioning to the taking-hold phase, characterized by taking on self-care tasks.
Choice B focuses on emotional processing, not self-care tasks.
Choice C implies pain tolerance, not independence.
Choice D suggests bonding, not self-care.
Extract:
Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.
Question 2 of 5
The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Between 24 and 28 weeks' gestation. This timing aligns with the American Diabetes Association's recommendation for screening pregnant women for gestational diabetes. During this period, the placental hormones that can lead to insulin resistance are at their peak, making it an optimal time to detect gestational diabetes. Screening too early (B,
C) may miss cases that develop later in pregnancy, while screening too late (
D) may delay necessary interventions. Option E, F, G are not provided.
Extract:
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1.
Question 3 of 5
Which of the following interpretations of this finding should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: The presenting part is 1 cm above the ischial spines. This interpretation indicates the fetal station, which is crucial in assessing the progress of labor. The ischial spines serve as a reference point for the descent of the fetal presenting part. Being 1 cm above indicates early labor, while descent towards the spines indicates progress. The other choices are incorrect because: A does not provide information on descent; C focuses on cervical dilation, not descent; D indicates the presenting part is below the spines, which is not consistent with labor progress.
Extract:
A client presents to the health care clinic for her first prenatal checkup.
Question 4 of 5
What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?
Correct Answer: C
Rationale: The correct answer is C: Folic acid. Folic acid is essential in preventing neural tube defects in the developing fetus. It aids in the formation of the neural tube, which develops into the brain and spinal cord. Vitamin E (
A) is not directly related to neural tube defects prevention. Calcium (
B) is important for bone health, not neural tube development. Iron (
D) is crucial for preventing anemia but not specifically for neural tube defects.
Extract:
Which documentation in the health record is most correct for the third stage of labor?
Question 5 of 5
Which documentation in the health record is most correct for the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D because the third stage of labor begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta. This stage typically lasts around 5-30 minutes. It is important to document the timings accurately as it is crucial for monitoring the progression of labor and ensuring the safe delivery of the placenta.
Choice A is incorrect as it refers to the second stage of labor which involves full cervical dilation and delivery of the fetus.
Choice B is incorrect as it refers to the postpartum period, not the third stage of labor.
Choice C is incorrect as it does not accurately describe the end point of the third stage of labor.
Overall, the correct answer D provides the most accurate and specific documentation for the third stage of labor.