ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: The purpose of this medication is to boost fetal lung maturity. This statement is correct because medications like corticosteroids are given to pregnant women at risk of preterm birth to accelerate fetal lung development. This helps reduce the risk of respiratory distress syndrome in premature infants.
Choice A is incorrect because medications are not given to increase fetal heart rate but rather to improve lung function.
Choice B is incorrect as medications do not stop preterm labor contractions but rather aim to reduce complications of prematurity.
Choice C is incorrect because medications do not halt cervical dilation but focus on fetal lung development.
Extract:
A newborn following a vaginal delivery.
Question 2 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct action for the nurse to perform first is B: Dry the infant off and cover the head. This is crucial to prevent hypothermia and ensure the baby's warmth. By drying the infant off and covering the head, heat loss is minimized, helping to maintain the infant's body temperature. This step promotes thermal regulation and reduces the risk of complications associated with hypothermia, such as respiratory distress and hypoglycemia. Stimulating the infant to cry (
A) can wait until after the baby is warm and dry. Clamping the umbilical cord (
C) and clearing the respiratory tract (
D) are important steps but should come after ensuring the infant's warmth and well-being.
Extract:
A client who experienced a vaginal birth 2 hr ago.
Question 3 of 5
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Precipitous birth. Precipitous birth, which is a rapid labor and delivery lasting less than 3 hours, can increase the risk of postpartum hemorrhage due to insufficient time for the uterus to contract effectively. This may lead to retained placental fragments or uterine atony, causing excessive bleeding. Small for gestational age newborn (
A) does not directly increase the risk of postpartum hemorrhage. Gestational hypertension (
B) is a risk factor for pre-eclampsia but not specifically for postpartum hemorrhage. Two-vessel umbilical cord (
D) is a fetal anomaly and is not directly related to postpartum hemorrhage.
Extract:
A client who is postpartum.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.
Extract:
A client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. The nurse should expect pelvic pain in a patient with an ectopic pregnancy. This is because as the ectopic pregnancy grows outside the uterus, it can cause pain in the pelvic area. Copious vaginal bleeding (choice
A) is more commonly associated with miscarriage or placental abruption. Severe nausea and vomiting (choice
C) can occur in normal pregnancy or conditions like hyperemesis gravidarum, but it is not specific to ectopic pregnancy. Uterine enlargement greater than expected for gestational age (choice
D) would typically be seen in intrauterine pregnancies, not ectopic pregnancies.