ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 of 5
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Correct Answer: B
Rationale: Naegele's rule: Add 1 year (2024), subtract 3 months (January 4), add 7 days = January 11, 2024. Other dates misalign with this calculation.
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 reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn.
Question 3 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Stimulating nipples increases milk production, worsening engorgement in a bottle-feeding client. Ice, bras, and cabbage reduce swelling.
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 4 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.
Extract:
A nurse is assisting a client with breastfeeding her newborn.
Question 5 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The rooting reflex triggers sucking when the cheek is touched, aiding feeding. Moro, stepping, and Babinski reflexes serve other purposes.