ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: This statement is correct. Reinforcing instruction about insulin administration is an appropriate action for the nurse to take. The client's blood glucose levels are above the target range of 95 mg/dL before meals and 140 mg/dL 1 hr after meals. This indicates that the client may need more insulin or better adherence to the prescribed regimen.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 2 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: This statement is true. A large amount of bright red vaginal bleeding without pain is the hallmark sign of placenta previa. It occurs when the placenta implants over or near the cervical os and covers part or all of the opening. The bleeding can be triggered by cervical dilation, contractions, or sexual intercourse.
Extract:
A newborn who is 48 hours old.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: This statement is true. Jaundiced skin and yellow tinge to the sclera are signs of hyperbilirubinemia, which is a high level of bilirubin in the blood. Bilirubin is a waste product that results from the breakdown of red blood cells. It can cause brain damage if left untreated. The nurse should report this finding to the provider and check the newborn's bilirubin level.
Extract:
A client who is pregnant and has phenylketonuria (PKU).
Question 4 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: B
Rationale: This statement is true. Peanut butter is a high-protein food that should be eliminated from the diet for PKU. It contains about 25 grams of protein and 1,000 mg of phenylalanine per 100 grams.
Extract:
A client who is postpartum.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: This statement is true. Immersing the newborn's abdomen in water can cause the cord to become wet and increase the risk of infection. The nurse should advise the client to give the newborn a sponge bath until the cord is dry and falls off.