ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who is small for gestational age (SGA).
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Blood glucose instability. In diabetes, fluctuations in blood glucose levels are common due to inadequate insulin production or utilization. This can lead to hyperglycemia or hypoglycemia. The nurse should expect this finding as it is a hallmark of diabetes management. Retinopathy (
A) is a complication of long-standing uncontrolled diabetes, not an immediate finding. Decreased circulating RBC (
B) is not directly related to diabetes but can be seen in conditions like anemia. A well-rounded abdomen (
C) is a vague finding and not specific to diabetes.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 2 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy, offers support, and validates the patient's feelings. It acknowledges the patient's emotional struggle and offers assistance.
Choice A lacks empathy and may minimize the patient's feelings.
Choice B suggests relying on external sources for comfort rather than immediate support.
Choice C is too direct and may come off as intrusive. Overall, choice D demonstrates effective therapeutic communication by expressing understanding and willingness to help.
Extract:
Parents of newborns about formula feeding.
Question 3 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.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 4 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D: "It must be very difficult for you both. I will be available if you need anything." This response shows empathy, acknowledges the patient's emotions, and offers support. It validates the patient's feelings and provides reassurance.
Choice A lacks empathy and could be dismissive.
Choice B suggests involving a third party instead of addressing the patient's feelings directly.
Choice C focuses on medical history rather than emotional support.
Extract:
A newborn who is 48 hours old.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Jaundiced skin and yellow tinge to the sclera. This finding indicates elevated bilirubin levels, which could be a sign of liver dysfunction or hemolysis. It needs immediate medical attention to prevent complications like kernicterus.
A: Erythema toxicum is a common benign rash in newborns, not requiring immediate reporting.
C: Mongolian spot is a harmless birthmark common in infants of certain ethnicities, not requiring urgent reporting.
D: Telangiectatic nevi are small, benign blood vessels on the skin, not needing immediate reporting.