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: Slight yellowing at 12 hours suggests physiologic jaundice, common in newborns as the liver matures to process bilirubin, typically peaking day 2-3. Blood incompatibility causes earlier, severe jaundice; cocaine or vitamin K issues don't typically cause this.
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 2 of 5
The nurse should document which of the following as the client's present gravidity (G)?
Correct Answer: D
Rationale: Gravidity counts all pregnancies: elective abortion (1), twins (1), spontaneous abortion (1), current (1) = 4.
Extract:
A nurse is assisting in the care of a client who is to undergo an amniotomy.
Question 3 of 5
Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Checking fetal heart rate post-amniotomy is priority to detect distress from cord compression or other complications.
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 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Using a screening tool first assesses postpartum depression severity, guiding further actions. Counseling, medication, or rest follow assessment.
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 5 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The explanation in the document is incorrect. The correct answer should be C: Assisting the client to ambulate promotes circulation and prevents thrombophlebitis, which is a risk after cesarean birth due to immobility. Pillows under the knees can impede venous return, hot soaks are not preventive, and bed rest increases stasis risk. However, per the document's provided answer, A is listed, though it's likely a mistake.