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 is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 2 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 following a vaginal delivery.
Question 3 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct action for the nurse to perform first is B: Dry the infant off and cover the head. This is crucial to prevent hypothermia and ensure the baby's warmth. By drying the infant off and covering the head, heat loss is minimized, helping to maintain the infant's body temperature. This step promotes thermal regulation and reduces the risk of complications associated with hypothermia, such as respiratory distress and hypoglycemia. Stimulating the infant to cry (
A) can wait until after the baby is warm and dry. Clamping the umbilical cord (
C) and clearing the respiratory tract (
D) are important steps but should come after ensuring the infant's warmth and well-being.
Extract:
A client who experienced a vaginal birth 2 hr ago.
Question 4 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 postpartum.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.