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: 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.
Extract:
A client is concerned that her newborn has "crossed eyes."
Question 2 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 preterm newborn.
Question 3 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 newborn who is 48 hours old.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Jaundiced skin and yellow tinge to the sclera. This finding indicates elevated bilirubin levels, which could be a sign of liver dysfunction or hemolysis. It needs immediate medical attention to prevent complications like kernicterus.
A: Erythema toxicum is a common benign rash in newborns, not requiring immediate reporting.
C: Mongolian spot is a harmless birthmark common in infants of certain ethnicities, not requiring urgent reporting.
D: Telangiectatic nevi are small, benign blood vessels on the skin, not needing immediate reporting.
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
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.