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 in labor and determines the fetus is in an RSA position.
Question 2 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: This statement is true. Vertex presentation is when the fetus is lying in the uterus with the head as the presenting part. It is the most common and favorable type of presentation for a vaginal delivery. It is related to the RSA position, which indicates that the fetal back is on the right side of the maternal pelvis.
Extract:
A newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation.
Question 3 of 5
What should the nurse document as the newborn's 5 min Apgar score?
Correct Answer: C
Rationale: This statement is correct. A score of 9 is appropriate for the newborn's condition. The newborn scores 2 in four categories (activity, pulse, grimace, and respiration) and 1 in one category (appearance) for a total of 9.
Extract:
A client who is at 40 weeks of gestation.
Question 4 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Choice C reason: This statement is true. Fetal motion is one of the parameters of the biophysical profile. It assesses the activity and movement of the fetus. It indicates the fetal well-being and neurological development.
Choice D reason: This statement is true. Amniotic fluid volume is one of the parameters of the biophysical profile. It measures the amount of fluid surrounding the fetus. It indicates the fetal kidney function and placental function.
Choice E reason: This statement is true. Fetal breathing is one of the parameters of the biophysical profile. It evaluates the movement of the chest and diaphragm of the fetus. It indicates the fetal lung maturity and oxygenation.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 5 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: This statement is correct. A baby who is breastfed effectively can lose up to 10% of his birth weight in the first few days of life due to fluid loss and meconium excretion. However, the baby should regain his birth weight by 7 to 14 days of age, as breast milk production increases and the baby feeds more efficiently.