ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 2 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about your concerns." This response demonstrates active listening, empathy, and encourages the patient to express their thoughts and feelings. It helps build rapport and trust.
Choice B is dismissive and may increase anxiety.
Choice C is nontherapeutic as it invalidates the patient's feelings.
Choice D is coercive and does not address the patient's concerns. Overall, choice A is the most appropriate therapeutic response as it promotes open communication and patient-centered care.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 3 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 about quickening with a client who is at 6 weeks of gestation.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Quickening occurs between the fourth and fifth months of pregnancy. Quickening refers to the first fetal movements felt by the mother, typically occurring around 18-22 weeks of pregnancy. This is due to the development of the fetal nervous system and muscle coordination.
Choices A, C, and D are incorrect because quickening does not occur as early as the first or second months of pregnancy, immediately after implantation, or during the last weeks of pregnancy. It is important for the nurse to provide accurate information to ensure proper understanding and expectations during pregnancy.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 5 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.