ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 1 of 5
The nurse should anticipate that the provider will order an amniotic fluid alpha-fetoprotein screening for which of the following clients?
Correct Answer: C
Rationale: The correct answer is C. A client with a history of delivering a child with a neural tube defect is at increased risk for a recurrence. Amniotic fluid alpha-fetoprotein screening helps detect neural tube defects.
Choice A is unrelated to this screening.
Choice B is more indicative of monitoring for preterm labor rather than this specific screening.
Choice D is not a direct indication for amniotic fluid alpha-fetoprotein screening.
Extract:
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: This test will screen for neural tube defects. The nurse should include this information because screening for neural tube defects is a crucial component of prenatal care to detect conditions like spina bifida. ABO incompatibility (
A) is related to blood type, not typically screened for in routine prenatal tests. Fetal maturity (
B) is usually assessed through other methods like ultrasound, not through a screening test. Gestational diabetes (
D) is screened separately through glucose tolerance tests.
Therefore, choice C is the most relevant information for the nurse to provide.
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: The correct answer is A: Calcium gluconate. In cases of calcium channel blocker toxicity, calcium gluconate is administered to counteract the effects of the overdose by increasing calcium levels and improving cardiac contractility. Flumazenil (
B) is used for benzodiazepine overdose, naloxone (
C) for opioid overdose, and protamine sulfate (
D) for heparin overdose. Calcium gluconate is the appropriate choice in this scenario due to the indication of calcium channel blocker toxicity.
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 4 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 correct answer is A: Place pillows under the client's knees while she is resting in bed. Elevating the client's legs with pillows promotes venous return, reducing the risk of thrombophlebitis. It helps prevent blood pooling in the lower extremities, decreasing the chances of blood clots forming. This intervention also improves circulation and reduces venous stasis.
Choices B and D are incorrect as applying hot moist soaks or keeping the client on bed rest do not directly address venous return or clot prevention.
Choice C, assisting the client to ambulate, is beneficial for circulation but may not be as effective as elevating the legs.
Extract:
A nurse is reinforcing teaching about reducing the risk of perineal infection with a client who had a vaginal birth.
Question 5 of 5
Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct
Answer: A, D, E
Rationale:
A: Blotting the perineal area dry after voiding helps prevent infection and irritation.
D: Cleaning the perineal area from front to back reduces the risk of introducing bacteria into the urinary tract.
E: Performing hand hygiene before and after voiding helps prevent the spread of infection.
Incorrect
Choices:
B: Applying ice packs to the perineal area can decrease blood flow and slow healing.
C: Sitting on an inflatable donut can increase pressure on the perineum and delay healing.