ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for admission to the hospital. This is the appropriate action because it addresses the immediate need for hospitalization and further care based on the client's condition. Checking the client's cervix for dilation (
B) is not the priority at this moment as hospital admission takes precedence. Documenting findings (
C) is important but should come after ensuring the client's immediate needs are met. Repeating the contraction stress test (
D) can wait until after the client has been admitted and stabilized.
Extract:
A client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC).
Question 2 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: The primary consideration is what type of incision you had. This statement by the nurse is appropriate because the type of incision from the previous cesarean section is crucial in determining the safety and feasibility of a vaginal birth after cesarean (VBA
C) or opting for a repeat cesarean section. Understanding the previous incision helps in assessing the risks and benefits associated with different delivery options, thereby guiding the decision-making process for the patient.
Incorrect
Choices:
A: This statement deflects responsibility from the nurse and does not provide any guidance.
B: This statement dismisses the patient's concerns and does not address the specific issue at hand.
C: This statement is prescriptive and does not take into account individual circumstances or preferences.
E, F, G: Since the choices are not provided, they are deemed incorrect by default.
Extract:
A client is concerned that her newborn has "crossed eyes."
Question 3 of 5
Which of the following statements is a therapeutic response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Newborns lack the necessary muscle control to regulate eye movement. This is a therapeutic response because it provides accurate and helpful information to the parent regarding their baby's eye movement. It demonstrates the nurse's knowledge and reassures the parent that their baby's condition is normal. This response also shows empathy and understanding towards the parent's concerns.
Choices A, B, and D are incorrect:
A: I will call your provider and report your concerns - This response does not provide direct information or reassurance to the parent about their baby's condition.
B: I will take your baby back to the nursery for an examination - This response does not address the parent's concerns or provide information about the baby's eye movement.
D: This condition is easily treated by patching your baby's eyes - This response is presumptive and may cause unnecessary worry or confusion for the parent.
Extract:
A newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus.
Question 4 of 5
For which of the following data should the nurse monitor?
Correct Answer: C
Rationale: The nurse should monitor for hypoglycemia because it is a life-threatening condition characterized by low blood sugar levels, which can lead to neurological symptoms and even coma. Monitoring glucose levels is crucial to prevent complications. Hypercalcemia (choice
A) is high calcium levels, not typically a priority in this scenario. Decreased RBC (choice
B) relates to anemia, which may require monitoring but is not as urgent as hypoglycemia. Hyperbilirubinemia (choice
D) is high bilirubin levels, primarily concerning liver function, but not as critical as hypoglycemia.
Extract:
A newborn following a vaginal delivery.
Question 5 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.