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 couple who experienced a fetal death at 37 weeks of gestation.
Question 2 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy, offers support, and validates the patient's feelings. It acknowledges the patient's emotional struggle and offers assistance.
Choice A lacks empathy and may minimize the patient's feelings.
Choice B suggests relying on external sources for comfort rather than immediate support.
Choice C is too direct and may come off as intrusive. Overall, choice D demonstrates effective therapeutic communication by expressing understanding and willingness to help.
Extract:
A client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. The nurse should expect pelvic pain in a patient with an ectopic pregnancy. This is because as the ectopic pregnancy grows outside the uterus, it can cause pain in the pelvic area. Copious vaginal bleeding (choice
A) is more commonly associated with miscarriage or placental abruption. Severe nausea and vomiting (choice
C) can occur in normal pregnancy or conditions like hyperemesis gravidarum, but it is not specific to ectopic pregnancy. Uterine enlargement greater than expected for gestational age (choice
D) would typically be seen in intrauterine pregnancies, not ectopic pregnancies.
Extract:
A preterm newborn.
Question 4 of 5
To help the newborn conserve energy, which of the following actions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Cluster the newborn's care activities. Clustering care activities involves grouping tasks together to minimize disruptions to the newborn's rest and sleep, thus conserving energy. This approach reduces the frequency of handling and stimulation, promoting better rest and recovery for the newborn. Placing elbow restraints (
A) can be distressing and restrict movement. Allowing opportunities for massage (
B) may be beneficial but does not directly address energy conservation. Changing the newborn's position every 2 hours (
D) is important for preventing pressure ulcers but does not specifically target energy conservation.
Extract:
A new mother about signs of effective breastfeeding of 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. 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.