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: This statement is true. L/S ratio is a test that measures the amount of two surfactants, lecithin and sphingomyelin, in the amniotic fluid. Surfactants are substances that reduce the surface tension of the alveoli and prevent them from collapsing. A ratio of 2:1 or higher indicates that the fetal lungs are mature and can produce enough surfactant.
Question 2 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: This statement is true. L/S ratio is a test that measures the amount of two surfactants, lecithin and sphingomyelin, in the amniotic fluid. Surfactants are substances that reduce the surface tension of the alveoli and prevent them from collapsing. A ratio of 2:1 or higher indicates that the fetal lungs are mature and can produce enough surfactant.
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 3 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:
A new mother about signs of effective breastfeeding of her newborn.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: This statement is correct. A baby who is breastfed effectively can lose up to 10% of his birth weight in the first few days of life due to fluid loss and meconium excretion. However, the baby should regain his birth weight by 7 to 14 days of age, as breast milk production increases and the baby feeds more efficiently.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: This statement is true. A positive contraction stress test indicates that the fetal heart rate shows signs of deceleration or distress during uterine contractions. This can be a sign of placental insufficiency, fetal hypoxia, or cord compression. The nurse should prepare the client for admission to the hospital for further evaluation and possible delivery.