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 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.
Extract:
A client who is at 40 weeks of gestation.
Question 2 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct parameters are C (Fetal motion), D (Amniotic fluid volume), and E (Fetal breathing). Fetal motion is important for assessing fetal well-being and development. Amniotic fluid volume is crucial for monitoring fetal growth and preventing complications. Fetal breathing indicates lung development and overall fetal health. Nuchal translucency and fetal gender are not part of this profile. Fetal gender is typically determined through other methods. Nuchal translucency is associated with genetic abnormalities, but it is not included in this specific profile.
Extract:
A newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response should be A. A caput succedaneum is a collection of fluid due to pressure from a vacuum extractor during birth. This explanation is correct because caput succedaneum is specifically associated with vacuum extraction, causing localized swelling on the infant's head. The other choices are incorrect because B, Mongolian spot, is a common birthmark found in various locations, not specifically on the head. C, cephalhematoma, is a collection of blood under the periosteum and can take weeks to months to resolve, not 3 to 5 days. D, erythema toxicum, is a benign rash seen in newborns, not related to caput succedaneum.
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 4 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: The correct answer is D: Fetal position is persistent occiput posterior. This position, where the back of the baby's head is towards the mother's spine, can lead to difficult and prolonged labor due to the baby facing the wrong way, causing more pressure on the mother's back and slowing down the descent through the birth canal. A persistent occiput posterior position can result in increased pain, labor duration, and the need for interventions like forceps or vacuum extraction.
A: Fetal lie being longitudinal is a normal position.
B: Fetal attitude in general flexion is also a normal position.
C: Maternal pelvis being gynecoid is the most favorable for labor.
E, F, G:
Choices are not provided.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 5 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C. A large amount of bright red vaginal bleeding without pain. This finding is indicative of placental abruption, a serious complication during pregnancy. Bright red bleeding without pain suggests a separation of the placenta from the uterine wall, which can lead to fetal distress and maternal hemorrhage. Monitoring the client for this symptom is crucial for prompt intervention.
Choice A, severe abdominal pain with increasing fundal height, may suggest preterm labor or placental previa, but it does not specifically indicate the urgency of placental abruption as in choice C.
Choice B, abdominal pain with minimal red vaginal bleeding, could be a sign of threatened miscarriage, but it is not as concerning as the large amount of bright red bleeding without pain in placental abruption.
Choice D, intermittent abdominal pain following passage of bloody mucus, may indicate early labor or mucus plug expulsion, but it does not point to the immediate risk of placental abruption as in choice C