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: 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 2 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
Extract:
A client is concerned that her newborn has "crossed eyes."
Question 3 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 client who is breastfeeding her newborn.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Drink enough decaffeinated fluids to quench your thirst. This is important to prevent dehydration, especially with increased folic acid intake.
Choice A is incorrect as protein is necessary for health.
Choice B is not specific to the scenario.
Choice C is not directly related to the situation. It is important to ensure adequate fluid intake while avoiding caffeine due to its diuretic effect.
Extract:
A client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC).
Question 5 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: The primary consideration is what type of incision you had. This statement by the nurse is appropriate because the type of incision from the previous cesarean section is crucial in determining the safety and feasibility of a vaginal birth after cesarean (VBA
C) or opting for a repeat cesarean section. Understanding the previous incision helps in assessing the risks and benefits associated with different delivery options, thereby guiding the decision-making process for the patient.
Incorrect
Choices:
A: This statement deflects responsibility from the nurse and does not provide any guidance.
B: This statement dismisses the patient's concerns and does not address the specific issue at hand.
C: This statement is prescriptive and does not take into account individual circumstances or preferences.
E, F, G: Since the choices are not provided, they are deemed incorrect by default.