ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 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 2 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 3 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.
Extract:
A nurse is admitting a full-term baby boy delivered 12 hours ago to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.
Question 4 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: The correct answer is B: Physiologic jaundice. Physiologic jaundice is common in newborns due to the breakdown of red blood cells and immature liver function. This leads to an increase in bilirubin levels, causing yellowing of the skin and eyes. Maternal/newborn blood group incompatibility (
A) would present with hemolytic disease of the newborn. Maternal cocaine abuse (
C) can lead to various complications but is not directly related to jaundice. Absence of vitamin K (
D) can cause bleeding issues but is not typically associated with jaundice in newborns.
Extract:
A nurse is caring for a client who is postpartum.
Question 5 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 who give birth to Rh-positive babies to prevent sensitization of the mother's immune system. If the mother's blood is exposed to Rh-positive blood during birth, she may develop antibodies that can harm future Rh-positive pregnancies.
Choices B, C, and D do not involve the Rh incompatibility issue, so Rho(
D) immune globulin is not indicated.