ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is pregnant.
Question 1 of 5
Which of the following nutrients should the nurse instruct the client to increase during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Iron. During pregnancy, iron needs increase due to the expansion of blood volume and the development of the fetus. Iron is essential for the production of hemoglobin, which carries oxygen to the baby and helps prevent anemia in the mother. Calcium is important for bone health but does not need a significant increase during pregnancy. Vitamin E and D are important but not specifically increased during pregnancy like iron.
Extract:
A client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 2 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: The correct answer is C because Rho(
D) Immune globulin is administered to Rh-negative individuals to prevent sensitization to Rh-positive blood. This is crucial in preventing hemolytic disease of the newborn in future pregnancies.
Choice A is incorrect as the desire to conceive does not warrant the administration of Rho(
D) Immune globulin.
Choice B is incorrect because having previously given birth to an Rh-negative infant does not necessitate the administration of Rho(
D) Immune globulin.
Choice D is incorrect as significant blood loss during a procedure does not directly relate to the need for Rho(
D) Immune globulin.
Extract:
A client who is postpartum.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.
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 should be included as a potential complication because infants born to diabetic mothers are at risk for hypoglycemia due to hyperinsulinemia in utero. Monitoring blood glucose levels and providing prompt treatment is crucial to prevent complications. Placenta previa (
A) refers to the abnormal implantation of the placenta, which is not directly related to maternal diabetes. Oligohydramnios (
B) is a condition characterized by a low level of amniotic fluid and is not a direct complication of maternal diabetes. Small for gestational age newborn (
C) is a concern in pregnancies complicated by maternal diabetes, but it is not the most critical complication.
Extract:
A newborn who is small for gestational age (SGA).
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Blood glucose instability. In diabetes, fluctuations in blood glucose levels are common due to inadequate insulin production or utilization. This can lead to hyperglycemia or hypoglycemia. The nurse should expect this finding as it is a hallmark of diabetes management. Retinopathy (
A) is a complication of long-standing uncontrolled diabetes, not an immediate finding. Decreased circulating RBC (
B) is not directly related to diabetes but can be seen in conditions like anemia. A well-rounded abdomen (
C) is a vague finding and not specific to diabetes.