ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who is small for gestational age.
Question 1 of 5
Which of the following findings is associated with this condition?
Correct Answer: D
Rationale: The correct answer is D: Gray umbilical cord. This finding is associated with a condition called meconium staining of the umbilical cord, which occurs when the fetus passes meconium (first stool) in utero. Meconium can discolor the umbilical cord, turning it gray. The other choices, A, B, and C, do not specifically correlate with this condition. Moist skin (choice
A) is a non-specific finding, wide skull sutures (choice
B) may be seen in conditions like craniosynostosis, and a protruding abdomen (choice
C) can be present in various conditions unrelated to meconium staining of the umbilical cord.
Extract:
A client who is breastfeeding her newborn.
Question 2 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 preterm newborn.
Question 3 of 5
To help the newborn conserve energy, which of the following actions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Cluster the newborn's care activities. Clustering care activities involves grouping tasks together to minimize disruptions to the newborn's rest and sleep, thus conserving energy. This approach reduces the frequency of handling and stimulation, promoting better rest and recovery for the newborn. Placing elbow restraints (
A) can be distressing and restrict movement. Allowing opportunities for massage (
B) may be beneficial but does not directly address energy conservation. Changing the newborn's position every 2 hours (
D) is important for preventing pressure ulcers but does not specifically target energy conservation.
Extract:
A client who is postpartum.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.
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: The correct answer is A because giving the newborn a sponge bath until the cord stump falls off helps prevent infection and promotes healing. Wrapping the cord in petroleum jelly gauze (
B) can trap moisture, leading to infection. Washing the cord daily with mild soap and water (
C) can be too harsh and disrupt the natural healing process. Covering the cord with the diaper (
D) can also trap moisture and increase infection risk.