ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 1 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: Report the client's temperature elevation. This is the priority action as it indicates a potential infection, which can be life-threatening for the client and baby. Reporting allows for timely intervention. B is incorrect as it does not address the underlying issue. C is not indicated without further assessment. D is incorrect as it does not address the temperature elevation. Focusing on milk supply is not the priority.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 2 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:
Duplicate of Question 34: 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. 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 preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL.
Question 4 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 0.5 mL. The dose should be administered per the prescribed amount, which in this case is 0.5 mL. It is important to follow the specific instructions provided by the healthcare provider to ensure the correct dosage is given to the patient.
Choice B: 1 mL is not correct as it does not match the prescribed dose.
Choice C: 2 mL is incorrect as it exceeds the prescribed amount.
Choice D: 0.6 mL is also incorrect as it is not the exact prescribed dose. It is crucial for the nurse to accurately measure and administer the correct dosage to ensure the patient's safety and treatment efficacy.
Extract:
A nurse is assisting a client with breastfeeding her newborn.
Question 5 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The correct answer is A: Rooting. When the cheek or lip is touched, the infant turns the head toward the stimulus and opens the mouth to suck. This reflex helps initiate sucking during breastfeeding. Moro reflex (
B) is a startle reflex, stepping reflex (
C) is for walking, and Babinski reflex (
D) is for assessing neurological function.
Choices E, F, G are not applicable.