ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client about how to reduce the risk of giving birth to a newborn who has a neural tube defect.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Eat foods fortified with folic acid. This instruction is crucial for pregnant women as folic acid helps prevent neural tube defects in the baby. Increasing iron intake (
A) is important but not directly related to neural tube defect prevention. Avoiding alcohol (
C) is important for fetal development but not specific to neural tube defects. Avoiding aspirin (
D) is important to prevent bleeding issues, not neural tube defects. No rationale for E, F, or G.
Extract:
Parents of newborns about formula feeding.
Question 2 of 5
Which of the following statements by one of the parents indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stating that feedings should last for 10 to 15 minutes is incorrect. Babies should be allowed to feed until they show signs of being full, which may vary in time. This statement indicates a need for further teaching as it suggests a time limit for feedings, potentially leading to underfeeding or overfeeding. Option A is correct as burping halfway through a feeding can help prevent gas. Option B is correct as formula at room temperature is safe for babies. Option D is correct as parents should watch for cues of fullness to prevent overfeeding.
Extract:
A client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 3 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Low birth weight. Newborns born with low birth weight are at increased risk for various health issues, such as respiratory distress, feeding difficulties, and developmental delays. This is because they may not have developed fully in the womb, leading to potential complications post-birth. Hyperactivity (choice
A), craniofacial abnormalities (choice
B), and hypersensitivity to noise (choice
C) are not typically associated with low birth weight.
Therefore, the correct choice is D as it aligns with the known risks associated with newborns of low birth weight.
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 4 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Newborn hypoglycemia. This complication should be included because newborns of diabetic mothers are at risk for hypoglycemia due to high insulin levels in response to maternal hyperglycemia. It is important for the nurse to monitor the newborn's blood glucose levels closely to prevent complications such as seizures. Placenta previa (
A) is a condition where the placenta partially or completely covers the cervix, not directly related to newborn hypoglycemia. Oligohydramnios (
B) is a decreased level of amniotic fluid, which can lead to fetal growth restriction but not directly related to newborn hypoglycemia. Small for gestational age newborn (
C) is a condition where the baby is smaller than expected for the gestational age, which may have various causes but not directly related to newborn hypoglycemia.
Extract:
A newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus.
Question 5 of 5
For which of the following data should the nurse monitor?
Correct Answer: C
Rationale: The nurse should monitor for hypoglycemia because it is a life-threatening condition characterized by low blood sugar levels, which can lead to neurological symptoms and even coma. Monitoring glucose levels is crucial to prevent complications. Hypercalcemia (choice
A) is high calcium levels, not typically a priority in this scenario. Decreased RBC (choice
B) relates to anemia, which may require monitoring but is not as urgent as hypoglycemia. Hyperbilirubinemia (choice
D) is high bilirubin levels, primarily concerning liver function, but not as critical as hypoglycemia.