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 umbilical cord care with a client who is postpartum.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: The stump should fall off in 10 to 14 days. This instruction is important because it informs the caregiver about the expected timeline for the umbilical cord stump to naturally detach, indicating proper healing.
Choice A is incorrect as baby oil can increase the risk of infection.
Choice B is incorrect as immersing the abdomen can also increase the risk of infection before the cord falls off.
Choice D is incorrect as covering the cord with a diaper can trap moisture and bacteria, leading to infection.
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 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is using a postpartum depression-screening tool with the client (
Choice
D). This is the priority because postpartum depression can have serious consequences for both the mother and the baby. Screening for postpartum depression allows for early identification and intervention, which is crucial for the well-being of the mother and infant. Counseling (
Choice
A) may be needed, but addressing the possibility of postpartum depression should come first. Requesting antidepressant medication (
Choice
B) should only be considered after a proper assessment and diagnosis. Reinforcing teaching about rest and sleep (
Choice
C) is important but addressing mental health concerns takes precedence.
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 4 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 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.