ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is receiving report about assigned clients at the start of his shift.
Question 1 of 5
Which of the following clients should the nurse plan to attend to first?
Correct Answer: B
Rationale: The correct answer is B. The client who experienced a cesarean birth 4 hours ago and reports pain should be attended to first because postoperative pain management is crucial for comfort and recovery. Failure to address pain promptly can lead to complications. Clients who have undergone surgery require close monitoring for any signs of distress or complications.
Choice A is incorrect because a client scheduled for discharge following a procedure like a laparoscopic tubal ligation typically does not require immediate attention unless there are signs of complications.
Choice C is incorrect because although a client with preeclampsia and a slightly elevated blood pressure needs monitoring, it is not as urgent as addressing acute postoperative pain.
Choice D is incorrect because a client who experienced a vaginal birth 24 hours ago and reports no bleeding does not present with an immediate concern that requires urgent attention.
In summary, the priority is to address acute postoperative pain to ensure the client's comfort and well-being, as timely pain management is essential in the
Extract:
A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Quickening occurs between the fourth and fifth months of pregnancy. Quickening refers to the first fetal movements felt by the mother, typically occurring around 18-22 weeks of pregnancy. This is due to the development of the fetal nervous system and muscle coordination.
Choices A, C, and D are incorrect because quickening does not occur as early as the first or second months of pregnancy, immediately after implantation, or during the last weeks of pregnancy. It is important for the nurse to provide accurate information to ensure proper understanding and expectations during pregnancy.
Extract:
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was April 4, 2023.
Question 3 of 5
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Correct Answer: B
Rationale: The correct answer is B: January 11, 2024. The estimated date of delivery (ED
D) is calculated by adding 280 days (40 weeks) to the first day of the woman's last menstrual period (LMP). For this question, the LMP would be around April 6, 2023 (approximately 280 days before January 11, 2024).
Therefore, January 11, 2024, is the most accurate estimated date of delivery.
A: February 27, 2023 -
Too early based on the 40-week gestation period.
C: April 4th, 2024 -
Too late based on the 40-week gestation period.
D: April 11, 2023 -
Too early based on the 40-week gestation period.
Extract:
A nurse is reviewing laboratory results from 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 180 mg/dL to 250 mg/dL over the past week.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is C: Anticipate an order for insulin administration. This is the correct answer because insulin administration is indicated when a patient has uncontrolled diabetes with high blood sugar levels. The nurse should anticipate this order to help manage the patient's blood glucose levels effectively.
A: Increasing carbohydrates may further elevate blood sugar levels in a patient with uncontrolled diabetes.
B: A 2-hr oral glucose tolerance test is not the immediate action needed for a patient with uncontrolled diabetes.
D: Obtaining an HbA1c is useful for assessing long-term glucose control but does not address the immediate need for insulin administration.
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 5 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weeks of gestation. Amniocentesis is a procedure used to detect genetic abnormalities in the fetus by analyzing the amniotic fluid. It is done around 15-20 weeks of gestation to determine the fetal age accurately. This information is crucial for monitoring the pregnancy's progress and ensuring appropriate prenatal care.
Choices A, C, and D are incorrect as amniocentesis is not primarily used to determine the gender of the fetus, detect anatomic abnormalities, or assess lung maturity.