ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 1 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.
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 2 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: Painless, bright red bleeding at 36 weeks suggests placenta previa, where the placenta covers the cervix. Abruptio placentae involves painful, dark bleeding, preterm labor involves contractions, and threatened abortion occurs earlier with cramping.
Extract:
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Washing with mild soap and water keeps the cord clean and prevents infection, promoting healing. Covering or using petroleum traps moisture.
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: 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 is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
Question 5 of 5
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: A
Rationale: Vitamin K prevents bleeding (e.g., hemorrhagic disease) by aiding clotting, as newborns have low levels initially. It doesn't address bilirubin, potassium, or infection.