ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.
Question 1 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C: A large amount of bright red vaginal bleeding without pain. This finding indicates a possible placental abruption, which is a medical emergency requiring immediate intervention. Bright red vaginal bleeding without pain suggests rapid blood loss and potential harm to the fetus. The nurse should monitor for signs of shock, such as hypotension and tachycardia, and notify the healthcare provider promptly.
Choices A, B, and D all involve abdominal pain, which is not a typical sign of placental abruption. Abdominal pain with minimal red vaginal bleeding (choice
A) may indicate a less urgent issue like implantation bleeding. Severe abdominal pain with increasing fundal height (choice
B) could be a sign of preterm labor or placenta previa. Intermittent abdominal pain following passage of bloody mucus (choice
D) may indicate preterm labor or bloody show, but it is not as concerning as bright red bleeding without pain in the context of possible placental
Extract:
A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 2 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I call the doctor if I see any bleeding." This statement demonstrates understanding because it shows the client recognizes the importance of seeking medical attention in case of bleeding, indicating concern for the child's well-being. In contrast, B assumes a quick healing process, which may not always be the case. C focuses on diaper fit, unrelated to the child's injury. D suggests using alcohol swabs, which can be harmful. E, while mentioning hygiene, does not address the specific concern of bleeding. Overall, A is the best choice as it prioritizes seeking medical help for a potentially serious issue.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 3 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: Report the client's temperature elevation. This is the priority action as it indicates a potential infection, which can be life-threatening for the client and baby. Reporting allows for timely intervention. B is incorrect as it does not address the underlying issue. C is not indicated without further assessment. D is incorrect as it does not address the temperature elevation. Focusing on milk supply is not the priority.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 4 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.
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 5 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.