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: The correct answer is D: "It must be very difficult for you both. I will be available if you need anything." This response shows empathy, acknowledges the patient's emotions, and offers support. It validates the patient's feelings and provides reassurance.
Choice A lacks empathy and could be dismissive.
Choice B suggests involving a third party instead of addressing the patient's feelings directly.
Choice C focuses on medical history rather than emotional support.
Extract:
A newborn who is 48 hours old.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Jaundiced skin and yellow tinge to the sclera. This finding indicates elevated bilirubin levels, which could be a sign of liver dysfunction or hemolysis. It needs immediate medical attention to prevent complications like kernicterus.
A: Erythema toxicum is a common benign rash in newborns, not requiring immediate reporting.
C: Mongolian spot is a harmless birthmark common in infants of certain ethnicities, not requiring urgent reporting.
D: Telangiectatic nevi are small, benign blood vessels on the skin, not needing immediate reporting.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 3 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: The correct answer is C: Maternal hypertension. Maternal hypertension is the most common risk factor for placental abruption due to the increased pressure causing detachment of the placenta. Smoking (
A) and cocaine use (
B) can also contribute, but not as common as hypertension. Maternal battering (
D) can lead to trauma but is less common than hypertension in causing placental abruption.
Extract:
A client who is pregnant.
Question 4 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 who is pregnant and has phenylketonuria (PKU).
Question 5 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: B
Rationale: The correct answer is B: Peanut butter. Peanut butter is high in fat which can exacerbate certain health conditions like heart disease or high cholesterol. Potatoes (
A) are a good source of nutrients when consumed in moderation. Broccoli (
C) is a healthy vegetable that should be included in a balanced diet. Apple juice (
D) can be a part of a healthy diet if consumed in moderation. In summary, eliminating peanut butter is important due to its high-fat content, while the other options can be part of a healthy diet when consumed in moderation.