ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who has just learned that she is pregnant.
Question 1 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. Facial edema can indicate a serious condition like kidney or heart failure, requiring immediate medical attention. A: Decreased energy is non-specific and common. B: Urinary frequency can be normal or indicate a urinary tract infection. C: Mood swings are common and not typically urgent.
Extract:
Duplicate of Question 34: A nurse is caring for a client who has just learned that she is pregnant.
Question 2 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This is because facial edema can indicate a serious issue such as an allergic reaction or kidney problem, which requires immediate medical attention. Decreased energy (
A) is nonspecific and may not be urgent. Urinary frequency (
B) is common and may not require immediate intervention. Mood swings (
C) can be a normal part of hormonal changes and not necessarily concerning. In summary, facial edema is the most critical symptom that warrants prompt communication with the healthcare provider compared to the other manifestations listed.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client's temperature. This step is crucial to assess if the client has a fever, which could indicate an underlying infection or illness leading to seizures. Placing the client on seizure precautions (
A) is not a priority without assessing the client's current condition. Covering the client with warm blankets (
C) is not necessary without knowing the client's temperature. Notifying the charge nurse (
D) can be done after assessing the client's temperature.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.
Question 5 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C: A large amount of bright red vaginal bleeding without pain. This finding indicates a possible placental abruption, which is a medical emergency requiring immediate intervention. Bright red vaginal bleeding without pain suggests rapid blood loss and potential harm to the fetus. The nurse should monitor for signs of shock, such as hypotension and tachycardia, and notify the healthcare provider promptly.
Choices A, B, and D all involve abdominal pain, which is not a typical sign of placental abruption. Abdominal pain with minimal red vaginal bleeding (choice
A) may indicate a less urgent issue like implantation bleeding. Severe abdominal pain with increasing fundal height (choice
B) could be a sign of preterm labor or placenta previa. Intermittent abdominal pain following passage of bloody mucus (choice
D) may indicate preterm labor or bloody show, but it is not as concerning as bright red bleeding without pain in the context of possible placental