ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 1 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: The correct answer is C: Lecithin/sphingomyelin (L/S) ratio of 2:1 indicates fetal lung maturity. This ratio reflects the presence of surfactant in the amniotic fluid, which is crucial for lung expansion and gas exchange. A ratio of 2:1 suggests that the fetal lungs are producing enough surfactant, indicating maturity. Absence of phosphatidylglycerol (choice
A) is a sign of immaturity. Biophysical profile score (choice
B) and nonstress test (choice
D) are assessments of fetal well-being, not lung maturity.
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 client who is pregnant.
Question 3 of 5
Which of the following nutrients should the nurse instruct the client to increase during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Iron. During pregnancy, iron needs increase due to the expansion of blood volume and the development of the fetus. Iron is essential for the production of hemoglobin, which carries oxygen to the baby and helps prevent anemia in the mother. Calcium is important for bone health but does not need a significant increase during pregnancy. Vitamin E and D are important but not specifically increased during pregnancy like iron.
Extract:
A client who is at 24 weeks of gestation.
Question 4 of 5
Which of the following statements indicates a need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because participating in a game of racquetball once a week may pose a risk of injury due to the high-intensity nature of the sport. Daily swimming (
A), daily cycling (
C), and attending a yoga class three times per week (
B) are generally considered safe and low-impact activities.
Therefore, D indicates a need for additional teaching to emphasize the importance of choosing appropriate exercise intensity levels to prevent injuries.
Extract:
Parents of newborns about formula feeding.
Question 5 of 5
Which of the following statements by one of the parents indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stating that feedings should last for 10 to 15 minutes is incorrect. Babies should be allowed to feed until they show signs of being full, which may vary in time. This statement indicates a need for further teaching as it suggests a time limit for feedings, potentially leading to underfeeding or overfeeding. Option A is correct as burping halfway through a feeding can help prevent gas. Option B is correct as formula at room temperature is safe for babies. Option D is correct as parents should watch for cues of fullness to prevent overfeeding.