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: Using a screening tool first assesses postpartum depression severity, guiding further actions. Counseling, medication, or rest follow assessment.
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 2 of 5
The nurse should anticipate that the provider will order an amniotic fluid alpha-fetoprotein screening for which of the following clients?
Correct Answer: C
Rationale: A history of neural tube defects increases recurrence risk, warranting alpha-fetoprotein screening to detect such anomalies in amniotic fluid.
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 assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 4 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity, which can cause respiratory depression when levels are too high. It restores neuromuscular function by competing with magnesium. Flumazenil reverses benzodiazepines, naloxone reverses opioids, and protamine sulfate reverses heparin—none address magnesium toxicity.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 5 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.