ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 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 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.'
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is using a postpartum depression-screening tool with the client (
Choice
D). This is the priority because postpartum depression can have serious consequences for both the mother and the baby. Screening for postpartum depression allows for early identification and intervention, which is crucial for the well-being of the mother and infant. Counseling (
Choice
A) may be needed, but addressing the possibility of postpartum depression should come first. Requesting antidepressant medication (
Choice
B) should only be considered after a proper assessment and diagnosis. Reinforcing teaching about rest and sleep (
Choice
C) is important but addressing mental health concerns takes precedence.
Extract:
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 3 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Calcium gluconate. In cases of calcium channel blocker toxicity, calcium gluconate is administered to counteract the effects of the overdose by increasing calcium levels and improving cardiac contractility. Flumazenil (
B) is used for benzodiazepine overdose, naloxone (
C) for opioid overdose, and protamine sulfate (
D) for heparin overdose. Calcium gluconate is the appropriate choice in this scenario due to the indication of calcium channel blocker toxicity.
Extract:
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation.
Question 4 of 5
The nurse should document which of the following as the client's present gravidity (G)?
Correct Answer: D
Rationale: The correct answer is D (4) because present gravidity (G) refers to the total number of pregnancies a woman has had, including the current one. Gravidity counts all pregnancies, whether they resulted in live births, stillbirths, or miscarriages.
Choices A, B, and C represent the number of previous pregnancies, excluding the current one.
Therefore, they do not accurately reflect the client's present gravidity.
Choice D is correct as it includes the current pregnancy, giving the most accurate representation of the client's total number of pregnancies.
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 5 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about your concerns." This response demonstrates active listening, empathy, and encourages the patient to express their thoughts and feelings. It helps build rapport and trust.
Choice B is dismissive and may increase anxiety.
Choice C is nontherapeutic as it invalidates the patient's feelings.
Choice D is coercive and does not address the patient's concerns. Overall, choice A is the most appropriate therapeutic response as it promotes open communication and patient-centered care.