ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: The correct answer is A: Maternal hypertension. Maternal hypertension is the most common risk factor for placental abruption due to the increased pressure within the blood vessels, which can lead to separation of the placenta from the uterine wall. This can result in fetal distress and maternal hemorrhage. Maternal battering, cigarette smoking, and cocaine use can also increase the risk of placental abruption, but they are not as common as hypertension. Maternal battering can cause trauma to the abdomen leading to abruption. Cigarette smoking can reduce oxygen supply to the placenta, and cocaine use can constrict blood vessels, both contributing to abruption. However, hypertension remains the most prevalent risk factor.
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 2 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about your concerns." This response demonstrates active listening, empathy, and encourages the patient to express their thoughts and feelings. It helps build rapport and trust.
Choice B is dismissive and may increase anxiety.
Choice C is nontherapeutic as it invalidates the patient's feelings.
Choice D is coercive and does not address the patient's concerns. Overall, choice A is the most appropriate therapeutic response as it promotes open communication and patient-centered care.
Extract:
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella.
Question 3 of 5
The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
Correct Answer: B
Rationale: The correct answer is B: Prior to discharge from the hospital after giving birth. This timing ensures protection for the newborn through passive immunity via breastfeeding.
Choice A is incorrect because MMR vaccine is not contraindicated during pregnancy.
Choice C is incorrect as it does not provide immediate protection to the newborn.
Choice D is incorrect; MMR vaccine is recommended regardless of future pregnancy plans.
Extract:
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL.
Question 4 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 0.5 mL. The dose should be administered per the prescribed amount, which in this case is 0.5 mL. It is important to follow the specific instructions provided by the healthcare provider to ensure the correct dosage is given to the patient.
Choice B: 1 mL is not correct as it does not match the prescribed dose.
Choice C: 2 mL is incorrect as it exceeds the prescribed amount.
Choice D: 0.6 mL is also incorrect as it is not the exact prescribed dose. It is crucial for the nurse to accurately measure and administer the correct dosage to ensure the patient's safety and treatment efficacy.
Extract:
A nurse is reviewing laboratory results from a client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 180 mg/dL to 250 mg/dL over the past week.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is C: Anticipate an order for insulin administration. This is the correct answer because insulin administration is indicated when a patient has uncontrolled diabetes with high blood sugar levels. The nurse should anticipate this order to help manage the patient's blood glucose levels effectively.
A: Increasing carbohydrates may further elevate blood sugar levels in a patient with uncontrolled diabetes.
B: A 2-hr oral glucose tolerance test is not the immediate action needed for a patient with uncontrolled diabetes.
D: Obtaining an HbA1c is useful for assessing long-term glucose control but does not address the immediate need for insulin administration.