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: This statement is true. Eating foods fortified with folic acid is directly related to reducing the risk of neural tube defects. Folic acid is a B vitamin that is essential for the development of the fetal brain and spinal cord. Folic acid deficiency can cause spina bifida or anencephaly, which are types of neural tube defects.
Extract:
A client who is in labor.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: This statement is true. Fetal heart rate 100/min for a 10-minute period is an abnormal finding for a client who is in labor. It indicates that the fetus is bradycardic, which means the heart rate is below the normal range of 110 to 160/min. This can be a sign of fetal distress, hypoxia, or cord compression. The nurse should report this finding to the provider and intervene to improve the fetal oxygenation and circulation.
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 3 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: This statement is true. L/S ratio is a test that measures the amount of two surfactants, lecithin and sphingomyelin, in the amniotic fluid. Surfactants are substances that reduce the surface tension of the alveoli and prevent them from collapsing. A ratio of 2:1 or higher indicates that the fetal lungs are mature and can produce enough surfactant.
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: This statement is true. Drying the infant off and covering the head is the first action that the nurse should perform. This helps to prevent heat loss through evaporation and radiation and maintain the infant's body temperature. The nurse should also place the infant on the mother's chest or abdomen to promote skin-to-skin contact and bonding.
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 5 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: This statement is true. Newborn hypoglycemia is a condition where the newborn has a low blood glucose level. It is a common complication of gestational diabetes, as the newborn's pancreas produces excess insulin in response to the mother's high blood glucose level. It can cause jitteriness, lethargy, poor feeding, or seizures.