ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 1 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: This statement is therapeutic. It acknowledges the couple's pain and offers support and empathy. It also respects the couple's privacy and autonomy.
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: This statement is correct. Reinforcing instruction about insulin administration is an appropriate action for the nurse to take. The client's blood glucose levels are above the target range of 95 mg/dL before meals and 140 mg/dL 1 hr after meals. This indicates that the client may need more insulin or better adherence to the prescribed regimen.
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This statement is correct. Positioning the client on her side is the first action that the nurse should take when late decelerations are noted on the fetal monitor tracing. Late decelerations are a sign of fetal hypoxia, which means that the fetus is not getting enough oxygen. Positioning the client on her side can improve blood flow to the placenta and the fetus, and reduce the compression of the umbilical cord.
Extract:
A newborn who is small for gestational age (SGA).
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: This statement is true. Blood glucose instability is a condition that causes hypoglycemia or low blood sugar levels. It is more common in newborns who are SGA, as they have less glycogen stores and increased metabolic demands. It can cause jitteriness, lethargy, poor feeding, or seizures.
Extract:
A client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: This statement is correct. Black stools are a common and harmless side effect of taking iron supplements. Iron binds to the pigment in the intestine, which gives the stool its dark color. This does not indicate bleeding or any serious problem.