ATI RN
ATI Maternity Nur230 Questions
Extract:
Client in the first trimester with health record G3 T1 P0 A1 L1
Question 1 of 5
A nurse in a prenatal clinic is caring for a client in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply.)
Correct Answer: A,D,E
Rationale: G3 indicates three pregnancies, T1 one full-term birth, and L1 one living child; no twin pregnancy is indicated.
Extract:
8-year-old child diagnosed with acute rheumatic fever
Question 2 of 5
A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?
Correct Answer: B
Rationale: Auscultating heart sounds is critical due to the risk of cardiac complications like carditis in acute rheumatic fever.
Extract:
Child who has Kawasaki disease
Question 3 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: D
Rationale: Kawasaki disease primarily affects the cardiovascular system, causing vasculitis and potential heart complications, requiring close monitoring.
Extract:
Newborn with small white nodules on the roof of the mouth
Question 4 of 5
A nurse is completing a newborn assessment and notices small white nodules on the roof of the newborn's mouth. This finding is characteristic of which of the following conditions?
Correct Answer: C
Rationale: Epstein's pearls are benign white nodules on the gums or palate, common in newborns and resolving naturally.
Extract:
Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station
Question 5 of 5
A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?
Correct Answer: D
Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.