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 updating the plan of care for a newborn who is undergoing phototherapy.
Question 2 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Monitor the baby's temperature while on phototherapy. This is crucial because phototherapy can cause fluctuations in the baby's body temperature, leading to potential complications. Monitoring the temperature allows the nurse to detect any abnormalities promptly.
Choice A is incorrect as newborns should be placed in a supine position to reduce the risk of sudden infant death syndrome (SIDS).
Choice B is incorrect as applying lotion may interfere with the baby's skin integrity.
Choice C is incorrect as monitoring blood glucose hourly is not necessary unless there are specific risk factors.
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 3 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 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 4 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 admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 5 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Placenta previa. This condition occurs when the placenta partially or completely covers the cervix, leading to painless vaginal bleeding in the third trimester. Abruptio placentae (
A) presents with painful vaginal bleeding, Preterm labor (
C) involves regular contractions and cervical changes, and Threatened abortion (
D) is associated with vaginal bleeding and cramping in the first trimester. Placenta previa best fits the description of painless bleeding in the third trimester.