ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
Parents of newborns about formula feeding.
Question 1 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 client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 2 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: The correct answer is C because Rho(
D) Immune globulin is administered to Rh-negative individuals to prevent sensitization to Rh-positive blood. This is crucial in preventing hemolytic disease of the newborn in future pregnancies.
Choice A is incorrect as the desire to conceive does not warrant the administration of Rho(
D) Immune globulin.
Choice B is incorrect because having previously given birth to an Rh-negative infant does not necessitate the administration of Rho(
D) Immune globulin.
Choice D is incorrect as significant blood loss during a procedure does not directly relate to the need for Rho(
D) Immune globulin.
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 3 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A new mother about signs of effective breastfeeding of her newborn.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because it provides accurate information about newborn weight loss and gain. Newborns can lose up to 10% of their birth weight in the first few days, but they should regain it by 7-14 days. This information reassures parents that weight loss is normal and temporary. Option A is incorrect as newborns should have at least 6 wet diapers a day. Option B is incorrect as newborns feed frequently, not constantly, in the first week. Option C is incorrect as infants should gain 0.5-1 oz (15-30 grams) per day, not 0.25 oz.
Extract:
A client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 5 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Low birth weight. Newborns born with low birth weight are at increased risk for various health issues, such as respiratory distress, feeding difficulties, and developmental delays. This is because they may not have developed fully in the womb, leading to potential complications post-birth. Hyperactivity (choice
A), craniofacial abnormalities (choice
B), and hypersensitivity to noise (choice
C) are not typically associated with low birth weight.
Therefore, the correct choice is D as it aligns with the known risks associated with newborns of low birth weight.