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:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 2 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: The correct answer is A. Rho(
D) immune globulin is administered to Rh-negative mothers when the newborn is Rh-positive to prevent Rh incompatibility reactions. Rh incompatibility can occur if fetal blood enters the maternal circulation during pregnancy or delivery, causing the mother to develop antibodies against the Rh antigen. This can lead to hemolytic disease of the newborn in subsequent pregnancies.
Choices B, C, and D do not present a risk for Rh incompatibility as there is no exposure to Rh-positive blood for an Rh-negative mother.
Therefore, administering Rho(
D) immune globulin in those situations would not be necessary to prevent Rh sensitization.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 3 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: Report the client's temperature elevation. This is the priority action as it indicates a potential infection, which can be life-threatening for the client and baby. Reporting allows for timely intervention. B is incorrect as it does not address the underlying issue. C is not indicated without further assessment. D is incorrect as it does not address the temperature elevation. Focusing on milk supply is not the priority.
Extract:
A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: The stump should fall off in 10 to 14 days. This instruction is important because it informs the caregiver about the expected timeline for the umbilical cord stump to naturally detach, indicating proper healing.
Choice A is incorrect as baby oil can increase the risk of infection.
Choice B is incorrect as immersing the abdomen can also increase the risk of infection before the cord falls off.
Choice D is incorrect as covering the cord with a diaper can trap moisture and bacteria, leading to infection.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 5 of 5
Which of the following complications should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Newborn hypoglycemia. This complication should be included because infants born to mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt decrease in glucose supply after birth. The other options are not directly related to gestational diabetes. A (Small for gestational age) is a condition where the baby is smaller than expected, not necessarily due to gestational diabetes. B (Oligohydramnios) is a low level of amniotic fluid, which is not typically a complication of gestational diabetes. D (Placenta previa) is a condition where the placenta partially or completely covers the cervix, unrelated to gestational diabetes.