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 client who is at 34 weeks of gestation and at risk for placental abruption.
Question 2 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 in labor.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fetal heart rate 100/min for a 10-minute period. This finding indicates fetal bradycardia, which can be a sign of fetal distress. It is crucial to report this to the provider promptly for further evaluation and intervention to ensure the well-being of the fetus.
Incorrect choices:
A: Four contractions in a 10-minute period - This is within the normal range of contractions and does not necessarily indicate a problem.
C: Contraction lasting 85 seconds - Although prolonged contractions can be concerning, the duration alone may not always require immediate reporting.
D: Contraction resting period 35 seconds - The rest period between contractions is important, but this specific duration may not be alarming enough to warrant immediate reporting.
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 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reinforce instruction about insulin administration. This is the most appropriate action as it directly addresses the management of diabetes by ensuring proper insulin dosage and administration. This is crucial for controlling blood sugar levels. Option A is incorrect because increasing carbohydrates may worsen blood sugar control. Option C is unnecessary as the client likely already has a diagnosis of diabetes. Option D is not the immediate priority as it measures long-term glucose control, not immediate insulin administration.
Extract:
A client who is at 40 weeks of gestation.
Question 5 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: The correct answer is C, D, and E. Fetal motion (
C) is important for assessing fetal well-being and development. Amniotic fluid volume (
D) is crucial for monitoring fetal growth and health. Fetal breathing (E) indicates proper lung development. Nuchal translucency (
A) is mainly used for early detection of chromosomal abnormalities, not for profile evaluation. Fetal gender (
B) is not a parameter included in a fetal profile assessment.