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 at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Empty her bladder immediately prior to the procedure. This instruction is crucial to prevent discomfort during the procedure and minimize the risk of injury to the bladder. By emptying the bladder, the patient ensures there is no interference or obstruction during the procedure, allowing for accurate results.
Choice B is incorrect because washing the abdomen with soap and water can introduce unnecessary contaminants that may interfere with the procedure.
Choice C is incorrect as refraining from eating breakfast is not typically necessary unless specified by the healthcare provider.
Choice D is incorrect as giving oneself a hypertonic enema without proper guidance can be dangerous and is not a standard pre-procedure instruction.
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 3 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 4 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 5 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.