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 client who is in labor and determines the fetus is in an RSA position.
Question 2 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A client with breastfeeding her newborn.
Question 3 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: B
Rationale: The correct answer is B: Rooting. Rooting reflex is the automatic turning of an infant's head towards the stimulus of cheek being touched, which helps initiate sucking. This reflex is crucial for breastfeeding and bottle feeding. Babinski reflex (
A) is a response of the toes when the sole of the foot is touched, not related to sucking.
Stepping reflex (
C) is when the baby makes stepping movements when held upright, not related to sucking. Moro reflex (
D) is the startle reflex in response to a sudden noise or movement, not related to sucking.
Extract:
A client who is postpartum.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D. Vitamin K decreases the newborn's risk of hemorrhagic disorders.
Rationale: Vitamin K is essential for blood clotting. Newborns are born with low levels of Vitamin K, putting them at risk for hemorrhagic disorders such as Vitamin K deficiency bleeding. By giving newborns a Vitamin K injection shortly after birth, the risk of hemorrhagic disorders is significantly decreased.
Summary:
A. Incorrect - Vitamin K does not directly decrease the risk of healthcare-associated infections.
B. Incorrect - Vitamin K does not directly decrease the risk of jaundice in newborns.
C. Incorrect - Vitamin K does not directly decrease the risk of complications from the Hepatitis B vaccine.
Extract:
A client who is 2 days postpartum.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: If you breastfeed your newborn, expect two to three stools per day. This statement should be included in the teaching because it provides important information about what to expect in terms of newborn bowel movements when breastfeeding. Breastfed babies typically have more frequent stools compared to formula-fed babies.
Choice A is incorrect because feeding a newborn formula every 2 hours can lead to overfeeding and digestive issues.
Choice B is incorrect as it does not specify the frequency of breastfeeding required for newborns.
Choice C is incorrect because formula-fed newborns usually have more regular bowel movements.