Questions 48

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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: A temperature of 37.7°C (100°F) is elevated postpartum and may suggest infection, requiring reporting. Bladder emptying addresses fundal deviation, not temperature.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.


Question 2 of 5

For which of the following findings should the nurse monitor the client?

Correct Answer: C

Rationale: Placenta previa presents with painless, bright red bleeding due to placental positioning over the cervix. Pain suggests other conditions like abruption.

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: Same as above: Facial edema suggests preeclampsia, a serious condition needing immediate attention.

Extract:

A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.


Question 4 of 5

Which of the following information should the nurse include?

Correct Answer: B

Rationale: Quickening, the first fetal movements felt, occurs between 18-20 weeks (fourth-fifth months), not earlier or later as in other options.

Extract:

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was April 4, 2023.


Question 5 of 5

Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?

Correct Answer: B

Rationale: Naegele's rule: Add 1 year (2024), subtract 3 months (January 4), add 7 days = January 11, 2024. Other dates misalign with this calculation.

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