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: The correct action for the nurse to take first is to position the client on her side (
Choice
A). This is because positioning the client on her side helps prevent aspiration in case of vomiting and promotes optimal lung expansion for better oxygenation. It also helps in maintaining a patent airway. Increasing the infusion rate of IV fluid (
Choice
B) may exacerbate fluid overload and is not a priority. Elevating the client's legs (
Choice
C) is not indicated unless specifically ordered for a particular condition. Administering oxygen via face mask (
Choice
D) may be necessary but ensuring a patent airway and preventing aspiration takes precedence.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about the baby being able to lose 10% of their birth weight and should return to birth weight by 7-14 days of age. This is important information as it indicates normal weight fluctuations in newborns. It is normal for babies to lose weight initially after birth and then regain it within the first two weeks. This information reassures parents about their baby's growth and development.
Choice A is incorrect because a newborn should have at least 6-8 wet diapers per day to indicate adequate hydration.
Choice B is incorrect as babies should feed approximately 8-12 times a day, not constantly.
Choice C is incorrect as babies should gain about 0.5-1 oz per day, not just 0.25 oz.
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 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:
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 4 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 experienced a vaginal birth 2 hr ago.
Question 5 of 5
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Precipitous birth. Precipitous birth, which is a rapid labor and delivery lasting less than 3 hours, can increase the risk of postpartum hemorrhage due to insufficient time for the uterus to contract effectively. This may lead to retained placental fragments or uterine atony, causing excessive bleeding. Small for gestational age newborn (
A) does not directly increase the risk of postpartum hemorrhage. Gestational hypertension (
B) is a risk factor for pre-eclampsia but not specifically for postpartum hemorrhage. Two-vessel umbilical cord (
D) is a fetal anomaly and is not directly related to postpartum hemorrhage.