ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 1 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: This statement is true. Newborn hypoglycemia is a condition where the newborn has a low blood glucose level. It is a common complication of gestational diabetes, as the newborn's pancreas produces excess insulin in response to the mother's high blood glucose level. It can cause jitteriness, lethargy, poor feeding, or seizures.
Extract:
A newborn following a vaginal delivery.
Question 2 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: This statement is true. Drying the infant off and covering the head is the first action that the nurse should perform. This helps to prevent heat loss through evaporation and radiation and maintain the infant's body temperature. The nurse should also place the infant on the mother's chest or abdomen to promote skin-to-skin contact and bonding.
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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: This statement is correct. Reinforcing instruction about insulin administration is an appropriate action for the nurse to take. The client's blood glucose levels are above the target range of 95 mg/dL before meals and 140 mg/dL 1 hr after meals. This indicates that the client may need more insulin or better adherence to the prescribed regimen.
Extract:
A newborn immediately after delivery by a client who was at 42 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: This statement is true. Dry, cracked skin is a finding that is expected for a post-term newborn. This is because the amniotic fluid volume decreases as the pregnancy progresses beyond the due date, and the skin loses its moisture and elasticity.
Extract:
A client who is pregnant and has phenylketonuria (PKU).
Question 5 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: B
Rationale: This statement is true. Peanut butter is a high-protein food that should be eliminated from the diet for PKU. It contains about 25 grams of protein and 1,000 mg of phenylalanine per 100 grams.