ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting in the care of a client who is to undergo an amniotomy.
Question 1 of 5
Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: The correct answer is A: Check the fetal heart rate pattern. This is the priority nursing action because it assesses the well-being of the fetus immediately after a procedure that may impact fetal distress. Monitoring the fetal heart rate helps identify any potential complications and guides further interventions. Evaluating for signs of infection (
B) is important but not the immediate priority post-procedure. Taking the client's temperature (
C) and observing amniotic fluid (
D) are important assessments but do not directly address fetal well-being.
Extract:
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was April 4, 2023.
Question 2 of 5
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Correct Answer: B
Rationale: The correct answer is B: January 11, 2024. The estimated date of delivery (ED
D) is calculated by adding 280 days (40 weeks) to the first day of the woman's last menstrual period (LMP). For this question, the LMP would be around April 6, 2023 (approximately 280 days before January 11, 2024).
Therefore, January 11, 2024, is the most accurate estimated date of delivery.
A: February 27, 2023 -
Too early based on the 40-week gestation period.
C: April 4th, 2024 -
Too late based on the 40-week gestation period.
D: April 11, 2023 -
Too early based on the 40-week gestation period.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 3 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct findings the nurse should expect to observe in a newborn are cracked, peeling skin (choice
C) and vernix in the folds and creases (choice E). Cracked, peeling skin is a normal postnatal adaptation due to the loss of the protective vernix caseosa. Vernix in the folds and creases is also expected as it helps protect the skin from the amniotic fluid. Moro reflex (choice
A) is a newborn reflex that involves the spreading out and then drawing in of the infant's arms in response to a sensation of falling, so this is not a expected finding. Heel to ear maneuverability (choice
B) is not a typical newborn assessment, so it is an incorrect choice. Abundant lanugo (choice
D) is fine hair that covers a newborn's body and is typically shed before birth, so it is an incorrect finding for a newborn.
Extract:
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the medication mentioned is likely a corticosteroid given to pregnant women at risk for preterm birth to enhance fetal lung maturity. This statement provides accurate information about the medication's purpose.
Choice B is incorrect as stopping preterm labor contractions is usually managed with tocolytic medications, not corticosteroids.
Choice C is incorrect as corticosteroids do not affect fetal heart rate.
Choice D is incorrect as corticosteroids do not halt cervical dilation but rather help with fetal lung development.
Extract:
A nurse is assisting in the care of a newborn following birth. At 1 min after birth, the nurse notes: heart rate 110/min; slow, weak cry; some flexion of extremities; responds to suctioning of the nares with respiration of 20; body pink in color with blue extremities.
Question 5 of 5
What should the nurse document as the newborn's 1-min Apgar score?
Correct Answer: A
Rationale: The correct answer is A: 6. The Apgar score assesses the newborn's overall well-being at 1 and 5 minutes after birth based on five criteria: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each criterion is scored from 0 to 2, with a total score ranging from 0 to 10. A score of 6 at 1 minute indicates that the newborn may need some assistance or stimulation to establish breathing and circulation. Scores of 7-10 are considered normal, while scores below 7 may indicate the need for immediate medical attention.
Choices B, C, D, and E are incorrect as they represent higher Apgar scores indicating better overall well-being, which is not the case for a score of 6 at 1 minute.