ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 1 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weeks of gestation. Amniocentesis is a procedure used to detect genetic abnormalities in the fetus by analyzing the amniotic fluid. It is done around 15-20 weeks of gestation to determine the fetal age accurately. This information is crucial for monitoring the pregnancy's progress and ensuring appropriate prenatal care.
Choices A, C, and D are incorrect as amniocentesis is not primarily used to determine the gender of the fetus, detect anatomic abnormalities, or assess lung maturity.
Extract:
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "It assists in identifying the location of the placenta and fetus." This response is appropriate because ultrasound imaging can indeed help in determining the positions of both the placenta and fetus within the uterus, aiding in monitoring fetal growth and development.
Choice A is incorrect because ultrasound is not specifically a screening tool for spina bifida.
Choice B is incorrect as ultrasound is primarily used for assessing fetal growth and development, not estimating fetal age.
Choice D is incorrect because while ultrasound can detect multiple fetuses, its primary purpose is not to determine the number of fetuses present.
Extract:
A nurse is assisting with the care of a client who is using paced breathing during the first stage of labor. The client says she feels lightheaded and her fingers are tingling.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is A: Assist the client to breathe into a paper bag or cupped hand. This is appropriate for a client experiencing hyperventilation, as breathing into a paper bag helps rebreathe exhaled carbon dioxide, which can help normalize the client's breathing pattern. Option B is incorrect as it can exacerbate hyperventilation by increasing the respiratory rate further. Option C is incorrect as it is not a recommended intervention for hyperventilation. Option D is incorrect as administering oxygen may not address the underlying issue of hyperventilation.
Extract:
A nurse is assisting in the care of a client who is to undergo an amniotomy.
Question 4 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 is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 5 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinary urgency. This manifestation is relevant for a nurse to include in teaching as it can indicate potential urinary issues or infections. Heartburn (
A) and constipation (
B) are not typically associated with urinary problems. Supine hypotension (
D) is a condition where blood pressure drops when lying down, not related to urinary urgency.