ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response should be A. A caput succedaneum is a collection of fluid due to pressure from a vacuum extractor during birth. This explanation is correct because caput succedaneum is specifically associated with vacuum extraction, causing localized swelling on the infant's head. The other choices are incorrect because B, Mongolian spot, is a common birthmark found in various locations, not specifically on the head. C, cephalhematoma, is a collection of blood under the periosteum and can take weeks to months to resolve, not 3 to 5 days. D, erythema toxicum, is a benign rash seen in newborns, not related to caput succedaneum.
Extract:
A newborn who is small for gestational age (SGA).
Question 2 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.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 3 of 5
Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy, offers support, and validates the patient's feelings. It acknowledges the patient's emotional struggle and offers assistance.
Choice A lacks empathy and may minimize the patient's feelings.
Choice B suggests relying on external sources for comfort rather than immediate support.
Choice C is too direct and may come off as intrusive. Overall, choice D demonstrates effective therapeutic communication by expressing understanding and willingness to help.
Extract:
Parents of newborns about formula feeding.
Question 4 of 5
Which of the following statements by one of the parents indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stating that feedings should last for 10 to 15 minutes is incorrect. Babies should be allowed to feed until they show signs of being full, which may vary in time. This statement indicates a need for further teaching as it suggests a time limit for feedings, potentially leading to underfeeding or overfeeding. Option A is correct as burping halfway through a feeding can help prevent gas. Option B is correct as formula at room temperature is safe for babies. Option D is correct as parents should watch for cues of fullness to prevent overfeeding.
Extract:
A couple who experienced a fetal death at 37 weeks of gestation.
Question 5 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.