ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is postpartum.
Question 1 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin prevents Rh sensitization in an Rh-negative mother with an Rh-positive newborn by neutralizing fetal Rh-positive cells entering maternal circulation, protecting future pregnancies.
Extract:
Vital Signs: 0800: Temperature 36.6°C (97.9°F), Pulse 88/min, Respirations 20/min, BP 179/99 mm Hg. 0815: Pulse 82/min, Respirations 16/min, BP 168/104 mm Hg. 0830: Pulse 81/min, Respirations 16/min, BP 170/101 mm Hg. Medical History: Gravida 3 Para 2, 32 weeks gestation, Allergies: Penicillin, Height 5'4, Weight 80.7 kg (178 lb), BMI 30.6, 6 lb weight gain in 2 weeks. Client reports 5-day headache, blurred vision, dizziness, unrelieved by Tylenol, swelling of feet/fingers, 2+ pitting edema, DTR 3+, FHT 148.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C,D,E
Rationale: Weight gain (
C), visual disturbances (
D), and elevated BP (E) (170/101 mm Hg) suggest preeclampsia, requiring urgent reporting. Normal FHR (148), respirations, and DTR 3+ are less immediate concerns.
Extract:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 3 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Same as above: Rho(
D) is indicated when the mother is Rh-negative and the newborn is Rh-positive to prevent sensitization.
Extract:
A nurse is caring for a client who is postpartum.
Question 4 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin prevents Rh sensitization in an Rh-negative mother with an Rh-positive newborn by neutralizing fetal Rh-positive cells entering maternal circulation, protecting future pregnancies.
Extract:
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation.
Question 5 of 5
The nurse should document which of the following as the client's present gravidity (G)?
Correct Answer: D
Rationale: Gravidity counts all pregnancies: elective abortion (1), twins (1), spontaneous abortion (1), current (1) = 4.