ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 1 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: Calling the doctor for bleeding shows understanding, as it's a potential complication. Healing takes days, alcohol is harsh, and soap is optional but not primary.
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 2 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Urinary urgency is common in the first trimester due to hormonal changes and uterine pressure on the bladder. Others occur later.
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 3 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The explanation in the document is incorrect. The correct answer should be C: Assisting the client to ambulate promotes circulation and prevents thrombophlebitis, which is a risk after cesarean birth due to immobility. Pillows under the knees can impede venous return, hot soaks are not preventive, and bed rest increases stasis risk. However, per the document's provided answer, A is listed, though it's likely a mistake.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 4 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: A negative rubella titer means no immunity, so immunization post-delivery is needed to protect future pregnancies. Rubella vaccine is contraindicated during pregnancy, and a negative titer disproves past infection or immunity.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 5 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A temperature of 37.7°C (100°F) is elevated postpartum and may suggest infection, requiring reporting. Bladder emptying addresses fundal deviation, not temperature.