ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is breastfeeding 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: Drink enough decaffeinated fluids to quench your thirst. This is important to prevent dehydration, especially with increased folic acid intake.
Choice A is incorrect as protein is necessary for health.
Choice B is not specific to the scenario.
Choice C is not directly related to the situation. It is important to ensure adequate fluid intake while avoiding caffeine due to its diuretic effect.
Extract:
A client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC).
Question 2 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: The primary consideration is what type of incision you had. This statement by the nurse is appropriate because the type of incision from the previous cesarean section is crucial in determining the safety and feasibility of a vaginal birth after cesarean (VBA
C) or opting for a repeat cesarean section. Understanding the previous incision helps in assessing the risks and benefits associated with different delivery options, thereby guiding the decision-making process for the patient.
Incorrect
Choices:
A: This statement deflects responsibility from the nurse and does not provide any guidance.
B: This statement dismisses the patient's concerns and does not address the specific issue at hand.
C: This statement is prescriptive and does not take into account individual circumstances or preferences.
E, F, G: Since the choices are not provided, they are deemed incorrect by default.
Extract:
A client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day.
Question 3 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movement by the mother, typically around 18-20 weeks of pregnancy. It is an important milestone in prenatal care. Balottement (
A) is a technique used in physical examination, not a term for documenting fetal movement. Fluttering (
B) is a vague description and not a precise term used in healthcare. Chloasma (
C) is a skin condition commonly known as the "mask of pregnancy" and is unrelated to fetal movement.
Extract:
A newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response should be A. A caput succedaneum is a collection of fluid due to pressure from a vacuum extractor during birth. This explanation is correct because caput succedaneum is specifically associated with vacuum extraction, causing localized swelling on the infant's head. The other choices are incorrect because B, Mongolian spot, is a common birthmark found in various locations, not specifically on the head. C, cephalhematoma, is a collection of blood under the periosteum and can take weeks to months to resolve, not 3 to 5 days. D, erythema toxicum, is a benign rash seen in newborns, not related to caput succedaneum.
Extract:
A newborn who is small for gestational age (SGA).
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Blood glucose instability. In diabetes, fluctuations in blood glucose levels are common due to inadequate insulin production or utilization. This can lead to hyperglycemia or hypoglycemia. The nurse should expect this finding as it is a hallmark of diabetes management. Retinopathy (
A) is a complication of long-standing uncontrolled diabetes, not an immediate finding. Decreased circulating RBC (
B) is not directly related to diabetes but can be seen in conditions like anemia. A well-rounded abdomen (
C) is a vague finding and not specific to diabetes.