ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Question 1 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because checking a baby's temperature rectally every hour is not recommended due to the potential harm it can cause, such as rectal injury and discomfort for the baby. This practice is outdated and can lead to inaccurate readings. It is important to educate the client on safer and more accurate methods of taking a baby's temperature, such as using a digital thermometer under the armpit.
Choices A, B, and D are all appropriate statements that promote safe practices for infant care, such as keeping the baby warm, ensuring proper sleeping conditions, and avoiding potential hazards like fans and air conditioning.
Extract:
A nurse is caring for a pregnant client in labor in a health care facility.
Question 2 of 5
The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?
Correct Answer: D
Rationale: The correct answer is D because the patient reaching a cervix dilation of 10 cm with 100% effacement signifies the transition from the first stage to the second stage of labor. This stage is characterized by complete cervical dilation, allowing for the baby to descend through the birth canal.
Choices A, B, and C are incorrect as they are common signs of the first stage of labor, including cervical dilation of 5 cm with 50% effacement, rupturing of fetal membranes, and the start of regular contractions, respectively. These signs indicate the initial phase of labor before reaching full dilation and effacement.
Extract:
A nurse is caring for a client who just delivered a newborn.
Question 3 of 5
Following the delivery, which nursing action should be done first to care for the newborn?
Correct Answer: B
Rationale: The correct answer is B: Clear the respiratory tract. This should be done first to ensure the newborn can breathe properly. Clearing the respiratory tract helps prevent any obstruction that could hinder the baby's ability to breathe. Stimulating the infant to cry (choice
A) can come after ensuring proper breathing. Drying the infant off and covering the head (choice
C) is important for warmth but not as critical as clearing the airway. Cutting the umbilical cord (choice
D) can wait until after the baby is breathing well.
Extract:
Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?
Question 4 of 5
Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?
Correct Answer: C
Rationale: The correct answer is C. Sitz baths increase the blood supply to the perineal area. Warm sitz baths promote relaxation, improve circulation, and aid in healing by increasing blood flow to the perineal region, reducing discomfort, and promoting tissue repair. This is essential for postpartum women to facilitate healing and prevent complications like infection.
Choices A, B, and D are incorrect because sitz baths do not cause vasoconstriction or decreased bleeding; the therapeutic effect does not necessarily increase with longer duration, and they do not inherently lead to increased postpartum infection when done properly.
Extract:
At what time is the laboring client encouraged to push?
Question 5 of 5
At what time is the laboring client encouraged to push?
Correct Answer: D
Rationale: The correct answer is D: When the cervix is fully dilated. This is because pushing before full dilation of the cervix can lead to ineffective pushing and potential complications. When the cervix is fully dilated, it indicates that the baby is in the right position and the birth canal is open enough for the baby to pass through. Pushing at this stage helps in the efficient delivery of the baby.
Choices A, B, and C are incorrect because they do not consider the physiological readiness of the mother and baby for pushing.
Choice A depends on the healthcare provider's arrival, which may not align with the mother's natural labor progress.
Choice B focuses on the visibility of the fetal head, which may not necessarily indicate full cervical dilation.
Choice C is based on the nurse's preference rather than the mother's and baby's readiness for pushing.