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: The correct answer is A. Rho(
D) immune globulin is administered to Rh-negative mothers who give birth to Rh-positive babies to prevent sensitization of the mother's immune system. If the mother's blood is exposed to Rh-positive blood during birth, she may develop antibodies that can harm future Rh-positive pregnancies.
Choices B, C, and D do not involve the Rh incompatibility issue, so Rho(
D) immune globulin is not indicated.
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: The correct answer is C: Urinary urgency. This manifestation is relevant for a nurse to include in teaching as it can indicate potential urinary issues or infections. Heartburn (
A) and constipation (
B) are not typically associated with urinary problems. Supine hypotension (
D) is a condition where blood pressure drops when lying down, not related to urinary urgency.
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 3 of 5
The nurse should anticipate that the provider will order an amniotic fluid alpha-fetoprotein screening for which of the following clients?
Correct Answer: C
Rationale: The correct answer is C. A client with a history of delivering a child with a neural tube defect is at increased risk for a recurrence. Amniotic fluid alpha-fetoprotein screening helps detect neural tube defects.
Choice A is unrelated to this screening.
Choice B is more indicative of monitoring for preterm labor rather than this specific screening.
Choice D is not a direct indication for amniotic fluid alpha-fetoprotein screening.
Extract:
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 4 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: The correct answer is A: Maternal hypertension. Maternal hypertension is the most common risk factor for placental abruption due to the increased pressure within the blood vessels, which can lead to separation of the placenta from the uterine wall. This can result in fetal distress and maternal hemorrhage. Maternal battering, cigarette smoking, and cocaine use can also increase the risk of placental abruption, but they are not as common as hypertension. Maternal battering can cause trauma to the abdomen leading to abruption. Cigarette smoking can reduce oxygen supply to the placenta, and cocaine use can constrict blood vessels, both contributing to abruption. However, hypertension remains the most prevalent risk factor.
Extract:
A nurse is assisting in the care of a client who is to undergo an amniotomy.
Question 5 of 5
Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: The correct answer is A: Check the fetal heart rate pattern. This is the priority nursing action because it assesses the well-being of the fetus immediately after a procedure that may impact fetal distress. Monitoring the fetal heart rate helps identify any potential complications and guides further interventions. Evaluating for signs of infection (
B) is important but not the immediate priority post-procedure. Taking the client's temperature (
C) and observing amniotic fluid (
D) are important assessments but do not directly address fetal well-being.