ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 1 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Urinary urgency is common in the first trimester due to hormonal changes and uterine pressure on the bladder. Others occur later.
Extract:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 2 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Same as above: Rho(
D) is indicated when the mother is Rh-negative and the newborn is Rh-positive to prevent sensitization.
Extract:
Vital Signs: 0800: Temperature 36.6°C (97.9°F), Pulse 88/min, Respirations 20/min, BP 179/99 mm Hg. 0815: Pulse 82/min, Respirations 16/min, BP 168/104 mm Hg. 0830: Pulse 81/min, Respirations 16/min, BP 170/101 mm Hg. Medical History: Gravida 3 Para 2, 32 weeks gestation, Allergies: Penicillin, Height 5'4, Weight 80.7 kg (178 lb), BMI 30.6, 6 lb weight gain in 2 weeks. Client reports 5-day headache, blurred vision, dizziness, unrelieved by Tylenol, swelling of feet/fingers, 2+ pitting edema, DTR 3+, FHT 148.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C,D,E
Rationale: Weight gain (
C), visual disturbances (
D), and elevated BP (E) (170/101 mm Hg) suggest preeclampsia, requiring urgent reporting. Normal FHR (148), respirations, and DTR 3+ are less immediate concerns.
Extract:
Question 4 of 5
Which of the following reflects the normal sequence of postpartum vaginal discharge?
Correct Answer: D
Rationale: Normal sequence: Lochia rubra (red, initial), lochia serosa (pink/brown, transitional), lochia alba (white/yellow, final) as healing progresses.
Extract:
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 5 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: MSAFP screens for neural tube defects by measuring alpha-fetoprotein levels, which elevate with open defects like spina bifida.