ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who is 48 hours old.
Question 1 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.
Extract:
A client who is 2 days postpartum.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Breastfed newborns typically have 2-3 stools per day, indicating adequate feeding and hydration. This statement is crucial for the nurse to include in teaching to educate the parent on what to expect.
Choice A is incorrect as formula-fed newborns usually feed every 3-4 hours, not every 2 hours.
Choice B is incorrect as newborns should breastfeed 8-12 times a day, not just 5-7.
Choice C is incorrect because formula-fed newborns typically have 1-2 stools per day, not every 3 days.
Extract:
A newborn immediately following a cesarean delivery.
Question 3 of 5
The nurse's highest priority is to monitor the newborn for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. The nurse's highest priority is to monitor the newborn for respiratory distress because it is a life-threatening condition that requires immediate intervention. Respiratory distress can manifest as tachypnea, retractions, grunting, or cyanosis, indicating inadequate oxygenation. Addressing respiratory distress promptly is crucial to prevent further complications such as hypoxia or respiratory failure. Kernicterus (
A) is a complication of severe jaundice, ABO incompatibility (
B) can lead to hemolysis but does not require immediate intervention, and renal impairment (
C) may not present with acute symptoms in a newborn.
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 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.