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 is assisting in the care of a client who is to undergo an amniotomy.
Question 2 of 5
Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: The correct answer is A: Check the fetal heart rate pattern. This is the priority nursing action because it assesses the well-being of the fetus immediately after a procedure that may impact fetal distress. Monitoring the fetal heart rate helps identify any potential complications and guides further interventions. Evaluating for signs of infection (
B) is important but not the immediate priority post-procedure. Taking the client's temperature (
C) and observing amniotic fluid (
D) are important assessments but do not directly address fetal well-being.
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 3 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.
Extract:
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Wash the cord daily with mild soap and water. This instruction is important for preventing infection and promoting healing of the umbilical cord stump. Washing with mild soap and water helps keep the area clean and reduces the risk of bacterial growth. Covering the cord with a diaper (
A) can trap moisture and lead to infection. Wrapping the cord in petroleum jelly gauze (
B) can also create a moist environment that promotes bacterial growth. Bathing the newborn with a washcloth until the cord stump falls off (
C) may not be necessary and can increase the risk of contamination. Overall, the correct instruction of washing the cord daily with mild soap and water is the most effective and safe approach for umbilical cord care.
Extract:
A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: "You should increase your folic acid intake during your pregnancy." This is because folic acid is crucial for preventing neural tube defects in the developing fetus. It is recommended that pregnant women increase their intake of folic acid to at least 600 micrograms per day. Adequate folic acid intake is essential during pregnancy to support the baby's brain and spinal cord development.
Explanation for incorrect choices:
A: Incorrect. Nausea is a common symptom during pregnancy, but stopping prenatal vitamins can deprive the mother and baby of essential nutrients.
C: Incorrect. Iron intake is important during pregnancy to prevent anemia, especially in the first trimester when blood volume increases.
D: Incorrect. While calorie needs increase during pregnancy, the general recommendation is an additional 300-500 calories per day, not 750.