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 because it provides accurate information about newborn weight loss and gain. Newborns can lose up to 10% of their birth weight in the first few days, but they should regain it by 7-14 days. This information reassures parents that weight loss is normal and temporary. Option A is incorrect as newborns should have at least 6 wet diapers a day. Option B is incorrect as newborns feed frequently, not constantly, in the first week. Option C is incorrect as infants should gain 0.5-1 oz (15-30 grams) per day, not 0.25 oz.
Extract:
A client who is at 40 weeks of gestation.
Question 2 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 newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation.
Question 3 of 5
What should the nurse document as the newborn's 5 min Apgar score?
Correct Answer: C
Rationale: The correct answer is C (9) for the newborn's 5 min Apgar score. The Apgar score assesses the newborn's health at 1 and 5 minutes after birth based on appearance, pulse, grimace, activity, and respiration. A score of 9 indicates the newborn is in good health with minor signs of distress, such as a slightly pale body color or weak cry. A score of 10 would be rare and signifies excellent health.
Choices A (5) and B (7) indicate a lower score, which would suggest more significant signs of distress.
Therefore, choice C (9) is the most appropriate score based on the guidelines for assessing newborn health.
Extract:
A client who is in labor.
Question 4 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 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 5 of 5
Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Elevate the leg. Elevating the leg helps reduce swelling by promoting venous return and reducing fluid accumulation. It improves circulation and reduces pressure on blood vessels. Cold compresses (
A) can help with acute pain but do not address swelling. Massaging the area (
B) can worsen swelling and should be avoided. Flexing the knee while resting (
C) may not be appropriate if there is swelling or pain. Elevation is a key intervention to manage swelling and promote healing.