ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn following a vaginal delivery.
Question 1 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct action for the nurse to perform first is B: Dry the infant off and cover the head. This is crucial to prevent hypothermia and ensure the baby's warmth. By drying the infant off and covering the head, heat loss is minimized, helping to maintain the infant's body temperature. This step promotes thermal regulation and reduces the risk of complications associated with hypothermia, such as respiratory distress and hypoglycemia. Stimulating the infant to cry (
A) can wait until after the baby is warm and dry. Clamping the umbilical cord (
C) and clearing the respiratory tract (
D) are important steps but should come after ensuring the infant's warmth and well-being.
Extract:
A newborn immediately following a cesarean delivery.
Question 2 of 5
The nurse's highest priority is to monitor the newborn for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. The nurse's highest priority is to monitor the newborn for respiratory distress because it is a life-threatening condition that requires immediate intervention. Respiratory distress can manifest as tachypnea, retractions, grunting, or cyanosis, indicating inadequate oxygenation. Addressing respiratory distress promptly is crucial to prevent further complications such as hypoxia or respiratory failure. Kernicterus (
A) is a complication of severe jaundice, ABO incompatibility (
B) can lead to hemolysis but does not require immediate intervention, and renal impairment (
C) may not present with acute symptoms in a newborn.
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 3 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: The correct answer is D: Fetal position is persistent occiput posterior. This position, where the back of the baby's head is towards the mother's spine, can lead to difficult and prolonged labor due to the baby facing the wrong way, causing more pressure on the mother's back and slowing down the descent through the birth canal. A persistent occiput posterior position can result in increased pain, labor duration, and the need for interventions like forceps or vacuum extraction.
A: Fetal lie being longitudinal is a normal position.
B: Fetal attitude in general flexion is also a normal position.
C: Maternal pelvis being gynecoid is the most favorable for labor.
E, F, G:
Choices are not provided.
Extract:
A client who is pregnant and has phenylketonuria (PKU).
Question 4 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: B
Rationale: The correct answer is B: Peanut butter. Peanut butter is high in fat which can exacerbate certain health conditions like heart disease or high cholesterol. Potatoes (
A) are a good source of nutrients when consumed in moderation. Broccoli (
C) is a healthy vegetable that should be included in a balanced diet. Apple juice (
D) can be a part of a healthy diet if consumed in moderation. In summary, eliminating peanut butter is important due to its high-fat content, while the other options can be part of a healthy diet when consumed in moderation.
Extract:
A client who is breastfeeding her newborn.
Question 5 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.