ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting a client with breastfeeding her newborn.
Question 1 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The rooting reflex triggers sucking when the cheek is touched, aiding feeding. Moro, stepping, and Babinski reflexes serve other purposes.
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Shaking chills may indicate infection (e.g., endometritis); determining temperature assesses for fever, guiding further action.
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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevated postprandial glucose (180-250 mg/dL) in gestational diabetes suggests poor control, often requiring insulin. Increasing carbs worsens hyperglycemia, a tolerance test is unnecessary post-diagnosis, and HbA1c isn't ideal for short-term management in pregnancy.
Extract:
A nurse is caring for a client who is postpartum.
Question 4 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin prevents Rh sensitization in an Rh-negative mother with an Rh-positive newborn by neutralizing fetal Rh-positive cells entering maternal circulation, protecting future pregnancies.
Extract:
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
Question 5 of 5
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: A
Rationale: Vitamin K prevents bleeding (e.g., hemorrhagic disease) by aiding clotting, as newborns have low levels initially. It doesn't address bilirubin, potassium, or infection.