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 who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reinforce instruction about insulin administration. This is the most appropriate action as it directly addresses the management of diabetes by ensuring proper insulin dosage and administration. This is crucial for controlling blood sugar levels. Option A is incorrect because increasing carbohydrates may worsen blood sugar control. Option C is unnecessary as the client likely already has a diagnosis of diabetes. Option D is not the immediate priority as it measures long-term glucose control, not immediate insulin administration.
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 3 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: The correct answer is C: Lecithin/sphingomyelin (L/S) ratio of 2:1 indicates fetal lung maturity. This ratio reflects the presence of surfactant in the amniotic fluid, which is crucial for lung expansion and gas exchange. A ratio of 2:1 suggests that the fetal lungs are producing enough surfactant, indicating maturity. Absence of phosphatidylglycerol (choice
A) is a sign of immaturity. Biophysical profile score (choice
B) and nonstress test (choice
D) are assessments of fetal well-being, not lung maturity.
Extract:
Parents of a newborn about caring for the umbilical cord stump.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because giving the newborn a sponge bath until the cord stump falls off helps prevent infection and promotes healing. Wrapping the cord in petroleum jelly gauze (
B) can trap moisture, leading to infection. Washing the cord daily with mild soap and water (
C) can be too harsh and disrupt the natural healing process. Covering the cord with the diaper (
D) can also trap moisture and increase infection risk.
Extract:
A client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: The purpose of this medication is to boost fetal lung maturity. This statement is correct because medications like corticosteroids are given to pregnant women at risk of preterm birth to accelerate fetal lung development. This helps reduce the risk of respiratory distress syndrome in premature infants.
Choice A is incorrect because medications are not given to increase fetal heart rate but rather to improve lung function.
Choice B is incorrect as medications do not stop preterm labor contractions but rather aim to reduce complications of prematurity.
Choice C is incorrect because medications do not halt cervical dilation but focus on fetal lung development.