ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 1 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: Painless, bright red bleeding at 36 weeks suggests placenta previa, where the placenta covers the cervix. Abruptio placentae involves painful, dark bleeding, preterm labor involves contractions, and threatened abortion occurs earlier with cramping.
Extract:
A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn.
Question 2 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Stimulating nipples increases milk production, worsening engorgement in a bottle-feeding client. Ice, bras, and cabbage reduce swelling.
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 3 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 reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 4 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: A negative rubella titer means no immunity, so immunization post-delivery is needed to protect future pregnancies. Rubella vaccine is contraindicated during pregnancy, and a negative titer disproves past infection or immunity.
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Weight gain of 0.5-1.5 kg from fluid or edema often precedes labor. Other signs are inaccurate or variable.