ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 1 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct findings the nurse should expect to observe in a newborn are cracked, peeling skin (choice
C) and vernix in the folds and creases (choice E). Cracked, peeling skin is a normal postnatal adaptation due to the loss of the protective vernix caseosa. Vernix in the folds and creases is also expected as it helps protect the skin from the amniotic fluid. Moro reflex (choice
A) is a newborn reflex that involves the spreading out and then drawing in of the infant's arms in response to a sensation of falling, so this is not a expected finding. Heel to ear maneuverability (choice
B) is not a typical newborn assessment, so it is an incorrect choice. Abundant lanugo (choice
D) is fine hair that covers a newborn's body and is typically shed before birth, so it is an incorrect finding for a newborn.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 2 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 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 3 of 5
The nurse should document which of the following as the client's present gravidity (G)?
Correct Answer: D
Rationale: The correct answer is D (4) because present gravidity (G) refers to the total number of pregnancies a woman has had, including the current one. Gravidity counts all pregnancies, whether they resulted in live births, stillbirths, or miscarriages.
Choices A, B, and C represent the number of previous pregnancies, excluding the current one.
Therefore, they do not accurately reflect the client's present gravidity.
Choice D is correct as it includes the current pregnancy, giving the most accurate representation of the client's total number of pregnancies.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 4 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.
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 5 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.