ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reviewing laboratory results from a client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 180 mg/dL to 250 mg/dL over the past week.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevated postprandial glucose (180-250 mg/dL) in gestational diabetes suggests poor control, often requiring insulin. Increasing carbs worsens hyperglycemia, a tolerance test is unnecessary post-diagnosis, and HbA1c isn't ideal for short-term management in pregnancy.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 2 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Phototherapy can cause heat loss; monitoring temperature prevents hypothermia. Other options are incorrect or unnecessary.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 3 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: Post-term newborns show cracked, peeling skin (
C) and vernix in creases (E) due to prolonged gestation. Lanugo decreases, and Moro is universal.
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 4 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: Tell me more about your concerns' encourages the client to express fears, fostering trust and allowing tailored support. Other options dismiss her anxiety or provide irrelevant information.
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.