ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a newborn immediately after birth.
Question 1 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.
Extract:
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: This test will screen for neural tube defects. The nurse should include this information because screening for neural tube defects is a crucial component of prenatal care to detect conditions like spina bifida. ABO incompatibility (
A) is related to blood type, not typically screened for in routine prenatal tests. Fetal maturity (
B) is usually assessed through other methods like ultrasound, not through a screening test. Gestational diabetes (
D) is screened separately through glucose tolerance tests.
Therefore, choice C is the most relevant information for the nurse to provide.
Extract:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 3 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 teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 4 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You will have a weight gain of 0.5 to 1.5 kilograms. This statement should be included because it informs the patient about the expected weight gain, which is a common side effect of taking corticosteroids. The weight gain is due to fluid retention and increased appetite.
Choices A, B, and C are incorrect as they do not accurately reflect the common side effects of corticosteroids. Urinary retention is not a typical side effect, vaginal discharge does not usually decrease, and a surge of energy is not commonly associated with corticosteroid use.
Extract:
A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 5 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.