ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.'
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is using a postpartum depression-screening tool with the client (
Choice
D). This is the priority because postpartum depression can have serious consequences for both the mother and the baby. Screening for postpartum depression allows for early identification and intervention, which is crucial for the well-being of the mother and infant. Counseling (
Choice
A) may be needed, but addressing the possibility of postpartum depression should come first. Requesting antidepressant medication (
Choice
B) should only be considered after a proper assessment and diagnosis. Reinforcing teaching about rest and sleep (
Choice
C) is important but addressing mental health concerns takes precedence.
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 2 of 5
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Correct Answer: B
Rationale: The correct answer is B: January 11, 2024. The estimated date of delivery (ED
D) is calculated by adding 280 days (40 weeks) to the first day of the woman's last menstrual period (LMP). For this question, the LMP would be around April 6, 2023 (approximately 280 days before January 11, 2024).
Therefore, January 11, 2024, is the most accurate estimated date of delivery.
A: February 27, 2023 -
Too early based on the 40-week gestation period.
C: April 4th, 2024 -
Too late based on the 40-week gestation period.
D: April 11, 2023 -
Too early based on the 40-week gestation period.
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 3 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 in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "It assists in identifying the location of the placenta and fetus." This response is appropriate because ultrasound imaging can indeed help in determining the positions of both the placenta and fetus within the uterus, aiding in monitoring fetal growth and development.
Choice A is incorrect because ultrasound is not specifically a screening tool for spina bifida.
Choice B is incorrect as ultrasound is primarily used for assessing fetal growth and development, not estimating fetal age.
Choice D is incorrect because while ultrasound can detect multiple fetuses, its primary purpose is not to determine the number of fetuses present.
Extract:
A nurse is assisting with the care of a client who is using paced breathing during the first stage of labor. The client says she feels lightheaded and her fingers are tingling.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is A: Assist the client to breathe into a paper bag or cupped hand. This is appropriate for a client experiencing hyperventilation, as breathing into a paper bag helps rebreathe exhaled carbon dioxide, which can help normalize the client's breathing pattern. Option B is incorrect as it can exacerbate hyperventilation by increasing the respiratory rate further. Option C is incorrect as it is not a recommended intervention for hyperventilation. Option D is incorrect as administering oxygen may not address the underlying issue of hyperventilation.