ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 1 of 5
Which of the following complications should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Newborn hypoglycemia. This complication should be included because infants born to mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt decrease in glucose supply after birth. The other options are not directly related to gestational diabetes. A (Small for gestational age) is a condition where the baby is smaller than expected, not necessarily due to gestational diabetes. B (Oligohydramnios) is a low level of amniotic fluid, which is not typically a complication of gestational diabetes. D (Placenta previa) is a condition where the placenta partially or completely covers the cervix, unrelated to gestational diabetes.
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You will have a weight gain of 0.5 to 1.5 kilograms. This statement should be included because it informs the patient about the expected weight gain, which is a common side effect of taking corticosteroids. The weight gain is due to fluid retention and increased appetite.
Choices A, B, and C are incorrect as they do not accurately reflect the common side effects of corticosteroids. Urinary retention is not a typical side effect, vaginal discharge does not usually decrease, and a surge of energy is not commonly associated with corticosteroid use.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.
Question 3 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C: A large amount of bright red vaginal bleeding without pain. This finding indicates a possible placental abruption, which is a medical emergency requiring immediate intervention. Bright red vaginal bleeding without pain suggests rapid blood loss and potential harm to the fetus. The nurse should monitor for signs of shock, such as hypotension and tachycardia, and notify the healthcare provider promptly.
Choices A, B, and D all involve abdominal pain, which is not a typical sign of placental abruption. Abdominal pain with minimal red vaginal bleeding (choice
A) may indicate a less urgent issue like implantation bleeding. Severe abdominal pain with increasing fundal height (choice
B) could be a sign of preterm labor or placenta previa. Intermittent abdominal pain following passage of bloody mucus (choice
D) may indicate preterm labor or bloody show, but it is not as concerning as bright red bleeding without pain in the context of possible placental
Extract:
A nurse is receiving report about assigned clients at the start of his shift.
Question 4 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 updating the plan of care for a newborn who is undergoing phototherapy.
Question 5 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.