ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor.
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: Fetal heart rate 100/min for a 10-minute period. This finding indicates fetal bradycardia, which can be a sign of fetal distress. It is crucial to report this to the provider promptly for further evaluation and intervention to ensure the well-being of the fetus.
Incorrect choices:
A: Four contractions in a 10-minute period - This is within the normal range of contractions and does not necessarily indicate a problem.
C: Contraction lasting 85 seconds - Although prolonged contractions can be concerning, the duration alone may not always require immediate reporting.
D: Contraction resting period 35 seconds - The rest period between contractions is important, but this specific duration may not be alarming enough to warrant immediate reporting.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for admission to the hospital. This is the appropriate action because it addresses the immediate need for hospitalization and further care based on the client's condition. Checking the client's cervix for dilation (
B) is not the priority at this moment as hospital admission takes precedence. Documenting findings (
C) is important but should come after ensuring the client's immediate needs are met. Repeating the contraction stress test (
D) can wait until after the client has been admitted and stabilized.
Extract:
A client who is at 40 weeks of gestation.
Question 3 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer is C, D, and E. Fetal motion (
C) is important for assessing fetal well-being and development. Amniotic fluid volume (
D) is crucial for monitoring fetal growth and health. Fetal breathing (E) indicates proper lung development. Nuchal translucency (
A) is mainly used for early detection of chromosomal abnormalities, not for profile evaluation. Fetal gender (
B) is not a parameter included in a fetal profile assessment.
Extract:
A preterm newborn.
Question 4 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 at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 5 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Low birth weight. Newborns born with low birth weight are at increased risk for various health issues, such as respiratory distress, feeding difficulties, and developmental delays. This is because they may not have developed fully in the womb, leading to potential complications post-birth. Hyperactivity (choice
A), craniofacial abnormalities (choice
B), and hypersensitivity to noise (choice
C) are not typically associated with low birth weight.
Therefore, the correct choice is D as it aligns with the known risks associated with newborns of low birth weight.