ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 1 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: This statement is true. Fetal position is the relationship of a specific fetal landmark, usually the occiput, to the maternal pelvis. A persistent occiput posterior position is a common cause of difficult, prolonged labor, as it increases the diameter of the fetal head and makes it harder to rotate and descend. It can also cause severe backache for the mother, as the fetal head presses against the sacrum.
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:
Choice C reason: This statement is true. Fetal motion is one of the parameters of the biophysical profile. It assesses the activity and movement of the fetus. It indicates the fetal well-being and neurological development.
Choice D reason: This statement is true. Amniotic fluid volume is one of the parameters of the biophysical profile. It measures the amount of fluid surrounding the fetus. It indicates the fetal kidney function and placental function.
Choice E reason: This statement is true. Fetal breathing is one of the parameters of the biophysical profile. It evaluates the movement of the chest and diaphragm of the fetus. It indicates the fetal lung maturity and oxygenation.
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 client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: This statement is correct. Black stools are a common and harmless side effect of taking iron supplements. Iron binds to the pigment in the intestine, which gives the stool its dark color. This does not indicate bleeding or any serious problem.
Extract:
Parents of a newborn about caring for the umbilical cord stump.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: This statement is true. Giving the newborn a sponge bath until the cord stump falls off helps to keep the cord dry and prevent infection. The cord stump usually falls off within 10 to 14 days after birth.