ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is postpartum.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D. Vitamin K decreases the newborn's risk of hemorrhagic disorders.
Rationale: Vitamin K is essential for blood clotting. Newborns are born with low levels of Vitamin K, putting them at risk for hemorrhagic disorders such as Vitamin K deficiency bleeding. By giving newborns a Vitamin K injection shortly after birth, the risk of hemorrhagic disorders is significantly decreased.
Summary:
A. Incorrect - Vitamin K does not directly decrease the risk of healthcare-associated infections.
B. Incorrect - Vitamin K does not directly decrease the risk of jaundice in newborns.
C. Incorrect - Vitamin K does not directly decrease the risk of complications from the Hepatitis B vaccine.
Extract:
A client who is 2 days postpartum.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: If you breastfeed your newborn, expect two to three stools per day. This statement should be included in the teaching because it provides important information about what to expect in terms of newborn bowel movements when breastfeeding. Breastfed babies typically have more frequent stools compared to formula-fed babies.
Choice A is incorrect because feeding a newborn formula every 2 hours can lead to overfeeding and digestive issues.
Choice B is incorrect as it does not specify the frequency of breastfeeding required for newborns.
Choice C is incorrect because formula-fed newborns usually have more regular bowel movements.
Extract:
A client about how to reduce the risk of giving birth to a newborn who has a neural tube defect.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Eat foods fortified with folic acid. This instruction is crucial for pregnant women as folic acid helps prevent neural tube defects in the baby. Increasing iron intake (
A) is important but not directly related to neural tube defect prevention. Avoiding alcohol (
C) is important for fetal development but not specific to neural tube defects. Avoiding aspirin (
D) is important to prevent bleeding issues, not neural tube defects. No rationale for E, F, or G.
Extract:
A newborn immediately following a cesarean delivery.
Question 4 of 5
The nurse's highest priority is to monitor the newborn for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. The nurse's highest priority is to monitor the newborn for respiratory distress because it is a life-threatening condition that requires immediate intervention. Respiratory distress can manifest as tachypnea, retractions, grunting, or cyanosis, indicating inadequate oxygenation. Addressing respiratory distress promptly is crucial to prevent further complications such as hypoxia or respiratory failure. Kernicterus (
A) is a complication of severe jaundice, ABO incompatibility (
B) can lead to hemolysis but does not require immediate intervention, and renal impairment (
C) may not present with acute symptoms in a newborn.
Extract:
A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.
Question 5 of 5
Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Elevate the leg. Elevating the leg helps reduce swelling by promoting venous return and reducing fluid accumulation. It improves circulation and reduces pressure on blood vessels. Cold compresses (
A) can help with acute pain but do not address swelling. Massaging the area (
B) can worsen swelling and should be avoided. Flexing the knee while resting (
C) may not be appropriate if there is swelling or pain. Elevation is a key intervention to manage swelling and promote healing.