ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Empty her bladder immediately prior to the procedure. This instruction is crucial to prevent discomfort during the procedure and minimize the risk of injury to the bladder. By emptying the bladder, the patient ensures there is no interference or obstruction during the procedure, allowing for accurate results.
Choice B is incorrect because washing the abdomen with soap and water can introduce unnecessary contaminants that may interfere with the procedure.
Choice C is incorrect as refraining from eating breakfast is not typically necessary unless specified by the healthcare provider.
Choice D is incorrect as giving oneself a hypertonic enema without proper guidance can be dangerous and is not a standard pre-procedure instruction.
Extract:
A newborn immediately after delivery by a client who was at 42 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Dry, cracked skin. During the neonatal period, infants are prone to dry, cracked skin due to the skin's immaturity and exposure to the dry environment after birth. This is a normal finding that the nurse should expect. Increased subcutaneous fat (
A) is not typically seen in newborns. Copious vernix (
C) is a white, cheesy substance covering the skin at birth, which decreases over time. Scant scalp hair (
D) is common in newborns and does not indicate any abnormality.
Extract:
A client who experienced a vaginal birth 2 hr ago.
Question 3 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 newborn following a vaginal delivery.
Question 4 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 is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Empty her bladder immediately prior to the procedure. This instruction is crucial to prevent discomfort during the procedure and minimize the risk of injury to the bladder. By emptying the bladder, the patient ensures there is no interference or obstruction during the procedure, allowing for accurate results.
Choice B is incorrect because washing the abdomen with soap and water can introduce unnecessary contaminants that may interfere with the procedure.
Choice C is incorrect as refraining from eating breakfast is not typically necessary unless specified by the healthcare provider.
Choice D is incorrect as giving oneself a hypertonic enema without proper guidance can be dangerous and is not a standard pre-procedure instruction.