ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 1 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about the baby being able to lose 10% of their birth weight and should return to birth weight by 7-14 days of age. This is important information as it indicates normal weight fluctuations in newborns. It is normal for babies to lose weight initially after birth and then regain it within the first two weeks. This information reassures parents about their baby's growth and development.
Choice A is incorrect because a newborn should have at least 6-8 wet diapers per day to indicate adequate hydration.
Choice B is incorrect as babies should feed approximately 8-12 times a day, not constantly.
Choice C is incorrect as babies should gain about 0.5-1 oz per day, not just 0.25 oz.
Extract:
A client about how to reduce the risk of giving birth to a newborn who has a neural tube defect.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Eat foods fortified with folic acid. This instruction is crucial for pregnant women as folic acid helps prevent neural tube defects in the baby. Increasing iron intake (
A) is important but not directly related to neural tube defect prevention. Avoiding alcohol (
C) is important for fetal development but not specific to neural tube defects. Avoiding aspirin (
D) is important to prevent bleeding issues, not neural tube defects. No rationale for E, F, or G.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 3 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 who is in labor and determines the fetus is in an RSA position.
Question 4 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 who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 5 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.