ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting in the care of a newborn following birth. At 1 min after birth, the nurse notes: heart rate 110/min; slow, weak cry; some flexion of extremities; responds to suctioning of the nares with respiration of 20; body pink in color with blue extremities.
Question 1 of 5
What should the nurse document as the newborn's 1-min Apgar score?
Correct Answer: A
Rationale: Apgar: Heart rate >100 (2), weak cry (1), some flexion (1), response to suction (1), pink with blue extremities (1) = 6.
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 2 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Urinary urgency is common in the first trimester due to hormonal changes and uterine pressure on the bladder. Others occur later.
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 3 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 assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 4 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The document's answer (
B) is incorrect; typically, amniocentesis in preterm labor assesses lung maturity (
D). However, per the provided answer, it's for gestation weeks, though this is less common.
Extract:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 5 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Same as above: Rho(
D) is indicated when the mother is Rh-negative and the newborn is Rh-positive to prevent sensitization.