ATI RN
Custom ATI Maternity Final 2023 Questions
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 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reinforce instruction about insulin administration. This is the most appropriate action as it directly addresses the management of diabetes by ensuring proper insulin dosage and administration. This is crucial for controlling blood sugar levels. Option A is incorrect because increasing carbohydrates may worsen blood sugar control. Option C is unnecessary as the client likely already has a diagnosis of diabetes. Option D is not the immediate priority as it measures long-term glucose control, not immediate insulin administration.
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 2 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test.
Question 3 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:
Parents of a newborn about caring for the umbilical cord stump.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because giving the newborn a sponge bath until the cord stump falls off helps prevent infection and promotes healing. Wrapping the cord in petroleum jelly gauze (
B) can trap moisture, leading to infection. Washing the cord daily with mild soap and water (
C) can be too harsh and disrupt the natural healing process. Covering the cord with the diaper (
D) can also trap moisture and increase infection risk.
Extract:
A client who is at 24 weeks of gestation.
Question 5 of 5
Which of the following statements indicates a need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because participating in a game of racquetball once a week may pose a risk of injury due to the high-intensity nature of the sport. Daily swimming (
A), daily cycling (
C), and attending a yoga class three times per week (
B) are generally considered safe and low-impact activities.
Therefore, D indicates a need for additional teaching to emphasize the importance of choosing appropriate exercise intensity levels to prevent injuries.