ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 24 weeks of gestation.
Question 1 of 5
Which of the following statements indicates a need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because participating in a game of racquetball once a week may pose a risk of injury due to the high-intensity nature of the sport. Daily swimming (
A), daily cycling (
C), and attending a yoga class three times per week (
B) are generally considered safe and low-impact activities.
Therefore, D indicates a need for additional teaching to emphasize the importance of choosing appropriate exercise intensity levels to prevent injuries.
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to position the client on her side (
Choice
A). This is because positioning the client on her side helps prevent aspiration in case of vomiting and promotes optimal lung expansion for better oxygenation. It also helps in maintaining a patent airway. Increasing the infusion rate of IV fluid (
Choice
B) may exacerbate fluid overload and is not a priority. Elevating the client's legs (
Choice
C) is not indicated unless specifically ordered for a particular condition. Administering oxygen via face mask (
Choice
D) may be necessary but ensuring a patent airway and preventing aspiration takes precedence.
Extract:
A newborn immediately after delivery by a client who was at 42 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Dry, cracked skin. During the neonatal period, infants are prone to dry, cracked skin due to the skin's immaturity and exposure to the dry environment after birth. This is a normal finding that the nurse should expect. Increased subcutaneous fat (
A) is not typically seen in newborns. Copious vernix (
C) is a white, cheesy substance covering the skin at birth, which decreases over time. Scant scalp hair (
D) is common in newborns and does not indicate any abnormality.
Extract:
A newborn who is small for gestational age.
Question 4 of 5
Which of the following findings is associated with this condition?
Correct Answer: D
Rationale: The correct answer is D: Gray umbilical cord. This finding is associated with a condition called meconium staining of the umbilical cord, which occurs when the fetus passes meconium (first stool) in utero. Meconium can discolor the umbilical cord, turning it gray. The other choices, A, B, and C, do not specifically correlate with this condition. Moist skin (choice
A) is a non-specific finding, wide skull sutures (choice
B) may be seen in conditions like craniosynostosis, and a protruding abdomen (choice
C) can be present in various conditions unrelated to meconium staining of the umbilical cord.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Empty her bladder immediately prior to the procedure. This instruction is crucial to prevent discomfort during the procedure and minimize the risk of injury to the bladder. By emptying the bladder, the patient ensures there is no interference or obstruction during the procedure, allowing for accurate results.
Choice B is incorrect because washing the abdomen with soap and water can introduce unnecessary contaminants that may interfere with the procedure.
Choice C is incorrect as refraining from eating breakfast is not typically necessary unless specified by the healthcare provider.
Choice D is incorrect as giving oneself a hypertonic enema without proper guidance can be dangerous and is not a standard pre-procedure instruction.