ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 1 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A client with breastfeeding her newborn.
Question 2 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: B
Rationale: The correct answer is B: Rooting. Rooting reflex is the automatic turning of an infant's head towards the stimulus of cheek being touched, which helps initiate sucking. This reflex is crucial for breastfeeding and bottle feeding. Babinski reflex (
A) is a response of the toes when the sole of the foot is touched, not related to sucking.
Stepping reflex (
C) is when the baby makes stepping movements when held upright, not related to sucking. Moro reflex (
D) is the startle reflex in response to a sudden noise or movement, not related to sucking.
Extract:
A client who is postpartum.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D. Vitamin K decreases the newborn's risk of hemorrhagic disorders.
Rationale: Vitamin K is essential for blood clotting. Newborns are born with low levels of Vitamin K, putting them at risk for hemorrhagic disorders such as Vitamin K deficiency bleeding. By giving newborns a Vitamin K injection shortly after birth, the risk of hemorrhagic disorders is significantly decreased.
Summary:
A. Incorrect - Vitamin K does not directly decrease the risk of healthcare-associated infections.
B. Incorrect - Vitamin K does not directly decrease the risk of jaundice in newborns.
C. Incorrect - Vitamin K does not directly decrease the risk of complications from the Hepatitis B vaccine.
Extract:
A client who is 2 days postpartum.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: If you breastfeed your newborn, expect two to three stools per day. This statement should be included in the teaching because it provides important information about what to expect in terms of newborn bowel movements when breastfeeding. Breastfed babies typically have more frequent stools compared to formula-fed babies.
Choice A is incorrect because feeding a newborn formula every 2 hours can lead to overfeeding and digestive issues.
Choice B is incorrect as it does not specify the frequency of breastfeeding required for newborns.
Choice C is incorrect because formula-fed newborns usually have more regular bowel movements.
Extract:
A client about how to reduce the risk of giving birth to a newborn who has a neural tube defect.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Eat foods fortified with folic acid. This instruction is crucial for pregnant women as folic acid helps prevent neural tube defects in the baby. Increasing iron intake (
A) is important but not directly related to neural tube defect prevention. Avoiding alcohol (
C) is important for fetal development but not specific to neural tube defects. Avoiding aspirin (
D) is important to prevent bleeding issues, not neural tube defects. No rationale for E, F, or G.