ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client's temperature. This step is crucial to assess if the client has a fever, which could indicate an underlying infection or illness leading to seizures. Placing the client on seizure precautions (
A) is not a priority without assessing the client's current condition. Covering the client with warm blankets (
C) is not necessary without knowing the client's temperature. Notifying the charge nurse (
D) can be done after assessing the client's temperature.
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 2 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weeks of gestation. Amniocentesis is a procedure used to detect genetic abnormalities in the fetus by analyzing the amniotic fluid. It is done around 15-20 weeks of gestation to determine the fetal age accurately. This information is crucial for monitoring the pregnancy's progress and ensuring appropriate prenatal care.
Choices A, C, and D are incorrect as amniocentesis is not primarily used to determine the gender of the fetus, detect anatomic abnormalities, or assess lung maturity.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 3 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 about umbilical cord care with a client who is postpartum.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: The stump should fall off in 10 to 14 days. This instruction is important because it informs the caregiver about the expected timeline for the umbilical cord stump to naturally detach, indicating proper healing.
Choice A is incorrect as baby oil can increase the risk of infection.
Choice B is incorrect as immersing the abdomen can also increase the risk of infection before the cord falls off.
Choice D is incorrect as covering the cord with a diaper can trap moisture and bacteria, leading to infection.
Extract:
A nurse is receiving report about assigned clients at the start of his shift.
Question 5 of 5
Which of the following clients should the nurse plan to attend to first?
Correct Answer: B
Rationale: The correct answer is B. The client who experienced a cesarean birth 4 hours ago and reports pain should be attended to first because postoperative pain management is crucial for comfort and recovery. Failure to address pain promptly can lead to complications. Clients who have undergone surgery require close monitoring for any signs of distress or complications.
Choice A is incorrect because a client scheduled for discharge following a procedure like a laparoscopic tubal ligation typically does not require immediate attention unless there are signs of complications.
Choice C is incorrect because although a client with preeclampsia and a slightly elevated blood pressure needs monitoring, it is not as urgent as addressing acute postoperative pain.
Choice D is incorrect because a client who experienced a vaginal birth 24 hours ago and reports no bleeding does not present with an immediate concern that requires urgent attention.
In summary, the priority is to address acute postoperative pain to ensure the client's comfort and well-being, as timely pain management is essential in the