ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn immediately after delivery by a client who was at 42 weeks of gestation.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Dry, cracked skin. During late pregnancy, the skin may become dry and cracked due to stretching and hormonal changes, leading to decreased sebum production. This can result in itchiness and discomfort. Increased subcutaneous fat (
A) is a common finding in pregnancy, not necessarily late pregnancy. Copious vernix (
C) is a waxy substance found on newborns, not typically present on pregnant women. Scant scalp hair (
D) is unrelated to skin changes in late pregnancy.
Extract:
A newborn following a vaginal delivery.
Question 2 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct action for the nurse to perform first is B: Dry the infant off and cover the head. This is crucial to prevent hypothermia and ensure the baby's warmth. By drying the infant off and covering the head, heat loss is minimized, helping to maintain the infant's body temperature. This step promotes thermal regulation and reduces the risk of complications associated with hypothermia, such as respiratory distress and hypoglycemia. Stimulating the infant to cry (
A) can wait until after the baby is warm and dry. Clamping the umbilical cord (
C) and clearing the respiratory tract (
D) are important steps but should come after ensuring the infant's warmth and well-being.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 3 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C. A large amount of bright red vaginal bleeding without pain. This finding is indicative of placental abruption, a serious complication during pregnancy. Bright red bleeding without pain suggests a separation of the placenta from the uterine wall, which can lead to fetal distress and maternal hemorrhage. Monitoring the client for this symptom is crucial for prompt intervention.
Choice A, severe abdominal pain with increasing fundal height, may suggest preterm labor or placental previa, but it does not specifically indicate the urgency of placental abruption as in choice C.
Choice B, abdominal pain with minimal red vaginal bleeding, could be a sign of threatened miscarriage, but it is not as concerning as the large amount of bright red bleeding without pain in placental abruption.
Choice D, intermittent abdominal pain following passage of bloody mucus, may indicate early labor or mucus plug expulsion, but it does not point to the immediate risk of placental abruption as in choice C
Extract:
A newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus.
Question 4 of 5
For which of the following data should the nurse monitor?
Correct Answer: C
Rationale: The nurse should monitor for hypoglycemia because it is a life-threatening condition characterized by low blood sugar levels, which can lead to neurological symptoms and even coma. Monitoring glucose levels is crucial to prevent complications. Hypercalcemia (choice
A) is high calcium levels, not typically a priority in this scenario. Decreased RBC (choice
B) relates to anemia, which may require monitoring but is not as urgent as hypoglycemia. Hyperbilirubinemia (choice
D) is high bilirubin levels, primarily concerning liver function, but not as critical as hypoglycemia.
Extract:
A client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 5 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: The correct answer is C because Rho(
D) Immune globulin is administered to Rh-negative individuals to prevent sensitization to Rh-positive blood. This is crucial in preventing hemolytic disease of the newborn in future pregnancies.
Choice A is incorrect as the desire to conceive does not warrant the administration of Rho(
D) Immune globulin.
Choice B is incorrect because having previously given birth to an Rh-negative infant does not necessitate the administration of Rho(
D) Immune globulin.
Choice D is incorrect as significant blood loss during a procedure does not directly relate to the need for Rho(
D) Immune globulin.