ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1.
Question 1 of 5
Which of the following interpretations of this finding should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: The presenting part is 1 cm above the ischial spines. This interpretation indicates the fetal station, which is crucial in assessing the progress of labor. The ischial spines serve as a reference point for the descent of the fetal presenting part. Being 1 cm above indicates early labor, while descent towards the spines indicates progress. The other choices are incorrect because: A does not provide information on descent; C focuses on cervical dilation, not descent; D indicates the presenting part is below the spines, which is not consistent with labor progress.
Extract:
A client presents to the health care clinic for her first prenatal checkup.
Question 2 of 5
What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?
Correct Answer: C
Rationale: The correct answer is C: Folic acid. Folic acid is essential in preventing neural tube defects in the developing fetus. It aids in the formation of the neural tube, which develops into the brain and spinal cord. Vitamin E (
A) is not directly related to neural tube defects prevention. Calcium (
B) is important for bone health, not neural tube development. Iron (
D) is crucial for preventing anemia but not specifically for neural tube defects.
Extract:
Which documentation in the health record is most correct for the third stage of labor?
Question 3 of 5
Which documentation in the health record is most correct for the third stage of labor?
Correct Answer: D
Rationale: The correct answer is D because the third stage of labor begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta. This stage typically lasts around 5-30 minutes. It is important to document the timings accurately as it is crucial for monitoring the progression of labor and ensuring the safe delivery of the placenta.
Choice A is incorrect as it refers to the second stage of labor which involves full cervical dilation and delivery of the fetus.
Choice B is incorrect as it refers to the postpartum period, not the third stage of labor.
Choice C is incorrect as it does not accurately describe the end point of the third stage of labor.
Overall, the correct answer D provides the most accurate and specific documentation for the third stage of labor.
Extract:
Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?
Question 4 of 5
Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?
Correct Answer: C
Rationale: The correct answer is C: Dry the newborn and place it skin-to-skin on the mother. This is the priority action as it helps regulate the newborn's temperature, promotes bonding, and initiates breastfeeding. Assessing the newborn's glucose level (
A) can be done after ensuring the baby's immediate needs are met. Swaddling and placing the infant in the bassinet (
B) can wait until after skin-to-skin contact. Completing a full head-to-toe assessment (
D) is important but not immediately necessary as the newborn's basic needs should be addressed first.
Extract:
A nurse is discussing postpartum depression with a newly licensed nurse.
Question 5 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
Correct Answer: D
Rationale: The correct answer is D because postpartum depression is more likely to occur in women with a history of depression due to predisposing factors.
Choice A is incorrect as harming the infant is not the most common manifestation.
Choice B is incorrect as postpartum depression can occur anytime within the first year.
Choice C is incorrect as psychotic behavior is not common in postpartum depression.