ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This statement is correct. Positioning the client on her side is the first action that the nurse should take when late decelerations are noted on the fetal monitor tracing. Late decelerations are a sign of fetal hypoxia, which means that the fetus is not getting enough oxygen. Positioning the client on her side can improve blood flow to the placenta and the fetus, and reduce the compression of the umbilical cord.
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: This statement is correct. Reinforcing instruction about insulin administration is an appropriate action for the nurse to take. The client's blood glucose levels are above the target range of 95 mg/dL before meals and 140 mg/dL 1 hr after meals. This indicates that the client may need more insulin or better adherence to the prescribed regimen.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 3 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: This statement is correct. Maternal hypertension is the most common risk factor for placental abruption, accounting for about 44% of cases. Hypertension during pregnancy can cause damage to the blood vessels in the placenta, resulting in placental infarction and detachment.
Extract:
A newborn following a vaginal delivery.
Question 4 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: This statement is true. Drying the infant off and covering the head is the first action that the nurse should perform. This helps to prevent heat loss through evaporation and radiation and maintain the infant's body temperature. The nurse should also place the infant on the mother's chest or abdomen to promote skin-to-skin contact and bonding.
Extract:
A client with breastfeeding her newborn.
Question 5 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: B
Rationale: This statement is true. The rooting reflex is when the newborn turns the head and opens the mouth to follow and root in the direction of the stroking on the cheek or corner of the mouth. It helps the newborn find the breast or bottle to start sucking and lasts about 4 months.