ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 1 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Monitor the baby's temperature while on phototherapy. This is crucial because phototherapy can cause fluctuations in the baby's body temperature, leading to potential complications. Monitoring the temperature allows the nurse to detect any abnormalities promptly.
Choice A is incorrect as newborns should be placed in a supine position to reduce the risk of sudden infant death syndrome (SIDS).
Choice B is incorrect as applying lotion may interfere with the baby's skin integrity.
Choice C is incorrect as monitoring blood glucose hourly is not necessary unless there are specific risk factors.
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 2 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 caring for a client who has just learned that she is pregnant.
Question 3 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. Facial edema can indicate a serious condition like kidney or heart failure, requiring immediate medical attention. A: Decreased energy is non-specific and common. B: Urinary frequency can be normal or indicate a urinary tract infection. C: Mood swings are common and not typically urgent.
Extract:
Duplicate of Question 34: A nurse is caring for a client who has just learned that she is pregnant.
Question 4 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This is because facial edema can indicate a serious issue such as an allergic reaction or kidney problem, which requires immediate medical attention. Decreased energy (
A) is nonspecific and may not be urgent. Urinary frequency (
B) is common and may not require immediate intervention. Mood swings (
C) can be a normal part of hormonal changes and not necessarily concerning. In summary, facial edema is the most critical symptom that warrants prompt communication with the healthcare provider compared to the other manifestations listed.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.