ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 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 caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: This test will screen for neural tube defects. The nurse should include this information because screening for neural tube defects is a crucial component of prenatal care to detect conditions like spina bifida. ABO incompatibility (
A) is related to blood type, not typically screened for in routine prenatal tests. Fetal maturity (
B) is usually assessed through other methods like ultrasound, not through a screening test. Gestational diabetes (
D) is screened separately through glucose tolerance tests.
Therefore, choice C is the most relevant information for the nurse to provide.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 4 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Monitor the baby's temperature while on phototherapy. This is crucial because phototherapy can cause fluctuations in the baby's body temperature, leading to potential complications. Monitoring the temperature allows the nurse to detect any abnormalities promptly.
Choice A is incorrect as newborns should be placed in a supine position to reduce the risk of sudden infant death syndrome (SIDS).
Choice B is incorrect as applying lotion may interfere with the baby's skin integrity.
Choice C is incorrect as monitoring blood glucose hourly is not necessary unless there are specific risk factors.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 5 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: The correct answer is D: "You will need an immunization following delivery." This statement is correct because rubella immunity acquired from a previous infection or vaccination can decrease over time, especially during pregnancy. Postpartum rubella vaccination can boost immunity to protect both the mother and future pregnancies.
A: Incorrect - Past infection does not guarantee current immunity.
B: Incorrect - Administering the vaccine during pregnancy is contraindicated.
C: Incorrect - Immunity status should be confirmed through blood tests.
D: Correct - Postpartum immunization is recommended to ensure protection.
E, F, G: N/A