ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn.
Question 1 of 5
Which of the following actions should the nurse take to elicit the newborn's Moro reflex?
Correct Answer: B
Rationale: The correct answer is B.
To elicit the Moro reflex, the nurse should hold the newborn vertically, allowing one foot to touch the crib surface. This action mimics the sensation of falling, triggering the Moro reflex which is characterized by the newborn's arms and legs extending outward and then coming back toward the body. This reflex is a normal response seen in healthy newborns and helps to assess their neurological development. Turning the newborn's head quickly to one side (
A) may elicit the tonic neck reflex, performing a sharp hand clap near the infant (
C) may startle the newborn but not specifically elicit the Moro reflex, and placing a finger at the base of the newborn's toes (
D) may trigger the Babinski reflex.
Extract:
A client who is at 40 weeks of gestation.
Question 2 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer is C, D, and E. Fetal motion (
C) is important for assessing fetal well-being and development. Amniotic fluid volume (
D) is crucial for monitoring fetal growth and health. Fetal breathing (E) indicates proper lung development. Nuchal translucency (
A) is mainly used for early detection of chromosomal abnormalities, not for profile evaluation. Fetal gender (
B) is not a parameter included in a fetal profile assessment.
Extract:
A client who is in labor.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fetal heart rate 100/min for a 10-minute period. This finding indicates fetal bradycardia, which could be a sign of fetal distress and requires immediate provider notification.
Choice A is within normal limits.
Choice C is a prolonged contraction but not an immediate concern.
Choice D is a normal resting period between contractions. No additional choices provided.
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 4 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Newborn hypoglycemia. This complication should be included because newborns of diabetic mothers are at risk for hypoglycemia due to high insulin levels in response to maternal hyperglycemia. It is important for the nurse to monitor the newborn's blood glucose levels closely to prevent complications such as seizures. Placenta previa (
A) is a condition where the placenta partially or completely covers the cervix, not directly related to newborn hypoglycemia. Oligohydramnios (
B) is a decreased level of amniotic fluid, which can lead to fetal growth restriction but not directly related to newborn hypoglycemia. Small for gestational age newborn (
C) is a condition where the baby is smaller than expected for the gestational age, which may have various causes but not directly related to newborn hypoglycemia.
Question 5 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Newborn hypoglycemia. This should be included as a potential complication because infants born to diabetic mothers are at risk for hypoglycemia due to hyperinsulinemia in utero. Monitoring blood glucose levels and providing prompt treatment is crucial to prevent complications. Placenta previa (
A) refers to the abnormal implantation of the placenta, which is not directly related to maternal diabetes. Oligohydramnios (
B) is a condition characterized by a low level of amniotic fluid and is not a direct complication of maternal diabetes. Small for gestational age newborn (
C) is a concern in pregnancies complicated by maternal diabetes, but it is not the most critical complication.