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 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 reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 3 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I call the doctor if I see any bleeding." This statement demonstrates understanding because it shows the client recognizes the importance of seeking medical attention in case of bleeding, indicating concern for the child's well-being. In contrast, B assumes a quick healing process, which may not always be the case. C focuses on diaper fit, unrelated to the child's injury. D suggests using alcohol swabs, which can be harmful. E, while mentioning hygiene, does not address the specific concern of bleeding. Overall, A is the best choice as it prioritizes seeking medical help for a potentially serious issue.
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 4 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 assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the medication mentioned is likely a corticosteroid given to pregnant women at risk for preterm birth to enhance fetal lung maturity. This statement provides accurate information about the medication's purpose.
Choice B is incorrect as stopping preterm labor contractions is usually managed with tocolytic medications, not corticosteroids.
Choice C is incorrect as corticosteroids do not affect fetal heart rate.
Choice D is incorrect as corticosteroids do not halt cervical dilation but rather help with fetal lung development.