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: Placenta previa presents with painless, bright red bleeding due to placental positioning over the cervix. Pain suggests other conditions like abruption.
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 2 of 5
Which of the following statements indicates that the client understands the teaching?
Correct Answer: D
Rationale: Eating crackers before rising helps manage nausea in hyperemesis gravidarum by stabilizing stomach acid. Other options may exacerbate symptoms.
Extract:
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 3 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity, which can cause respiratory depression when levels are too high. It restores neuromuscular function by competing with magnesium. Flumazenil reverses benzodiazepines, naloxone reverses opioids, and protamine sulfate reverses heparin—none address magnesium toxicity.
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 caring for a client who is 1 day postpartum following a cesarean birth.
Question 5 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The explanation in the document is incorrect. The correct answer should be C: Assisting the client to ambulate promotes circulation and prevents thrombophlebitis, which is a risk after cesarean birth due to immobility. Pillows under the knees can impede venous return, hot soaks are not preventive, and bed rest increases stasis risk. However, per the document's provided answer, A is listed, though it's likely a mistake.