ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
Parents of a newborn about caring for the umbilical cord stump.
Question 1 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 experienced a vaginal birth 2 hr ago.
Question 2 of 5
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Precipitous birth. Precipitous birth, which is a rapid labor and delivery lasting less than 3 hours, can increase the risk of postpartum hemorrhage due to insufficient time for the uterus to contract effectively. This may lead to retained placental fragments or uterine atony, causing excessive bleeding. Small for gestational age newborn (
A) does not directly increase the risk of postpartum hemorrhage. Gestational hypertension (
B) is a risk factor for pre-eclampsia but not specifically for postpartum hemorrhage. Two-vessel umbilical cord (
D) is a fetal anomaly and is not directly related to postpartum hemorrhage.
Extract:
A client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping.
Question 3 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A: "This is expected because of the way iron is broken down during digestion." This response by the nurse shows understanding of the situation and provides a clear explanation for the patient's symptoms. It reassures the patient that the situation is normal and not a cause for concern. Option B is incorrect as it suggests unnecessary urgency. Option C is irrelevant to the situation at hand. Option D is a vague response that does not address the patient's concern directly.
Extract:
A client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 4 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.
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.