ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 1 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: The correct answer is B: Expressions of excitement. During the postpartum phase, the mother may experience a range of emotions, including excitement about the new baby. This is a common and expected response as the mother bonds with her newborn.
Choices A, C, and D are incorrect.
Choice A may be relevant during the prenatal phase, but not specifically during the postpartum phase.
Choice C may be expected, but it is not the most prominent finding during this phase.
Choice D is not a typical finding during the postpartum phase, as most mothers have an increased appetite due to the physical demands of breastfeeding and recovery.
Extract:
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.
Question 2 of 5
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.
Correct Answer: A
Rationale: The correct answer is A: 4, 1, 1, 1. In the GTPAL system, "G" stands for Gravida, which refers to the total number of pregnancies including the current one. "T" stands for Term births (after 37 weeks), "P" stands for Preterm births (between 20-37 weeks), "A" stands for Abortions or miscarriages (before 20 weeks), and "L" stands for Living children. At 18 weeks pregnant, the woman has had 4 pregnancies (including the current one), 1 term birth, 1 preterm birth, and 1 abortion.
Therefore, the correct classification is 4, 1, 1, 1.
Choice B: 3, 2, 1 - Incorrect, as it does not match the given scenario of a woman at 18 weeks pregnant.
Choice C: 4, 2, 2,
Extract:
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the firmness of the uterus (fundus) first. This is crucial in postpartum care to assess for uterine atony, a common cause of postpartum hemorrhage. By checking the firmness of the uterus, the nurse can determine if there is proper contraction and prevent excessive bleeding. Obtaining a type and crossmatch (
B) would be important for potential blood transfusion but is not the immediate priority. Administering oxytocin infusion (
C) is a common intervention for uterine atony but should come after assessing the uterus. Initiating oxygen therapy (
D) by nonrebreather mask is not directly related to the initial concern of uterine firmness.
Extract:
A nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.
Question 4 of 5
Which signs and symptoms would the nurse include? Select all that apply.
Correct Answer: B, E, F
Rationale: The correct signs and symptoms to include are B, E, and F. Sudden leakage of fluid in the second trimester indicates possible preterm rupture of membranes. Lower abdominal pain with shoulder pain in the first trimester could suggest an ectopic pregnancy. Headache with visual changes in the third trimester may indicate preeclampsia. Nausea with vomiting in the first trimester is common and not necessarily concerning. Urinary frequency in the third trimester is expected due to the enlarged uterus. Backache in the second trimester is common due to the growing uterus and hormonal changes.
Extract:
A nurse is teaching about crib safety with the parent of a newborn.
Question 5 of 5
Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should remove extra blankets from my baby's crib." This statement demonstrates understanding of safe sleep practices for infants, as it follows the recommendation to keep the baby's sleep environment free from loose bedding to reduce the risk of suffocation. Removing extra blankets helps prevent potential hazards.
Choice A is incorrect because placing a baby on their stomach for sleep increases the risk of Sudden Infant Death Syndrome (SIDS).
Choice C is incorrect as padding the mattress can also pose a suffocation risk.
Choice D is incorrect as the American Academy of Pediatrics recommends room-sharing but not bed-sharing for at least the first six months to reduce the risk of SIDS.