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 client who is experiencing shaking chills during the immediate postpartum period.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client's temperature. This step is crucial to assess if the client has a fever, which could indicate an underlying infection or illness leading to seizures. Placing the client on seizure precautions (
A) is not a priority without assessing the client's current condition. Covering the client with warm blankets (
C) is not necessary without knowing the client's temperature. Notifying the charge nurse (
D) can be done after assessing the client's temperature.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.
Question 3 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C: A large amount of bright red vaginal bleeding without pain. This finding indicates a possible placental abruption, which is a medical emergency requiring immediate intervention. Bright red vaginal bleeding without pain suggests rapid blood loss and potential harm to the fetus. The nurse should monitor for signs of shock, such as hypotension and tachycardia, and notify the healthcare provider promptly.
Choices A, B, and D all involve abdominal pain, which is not a typical sign of placental abruption. Abdominal pain with minimal red vaginal bleeding (choice
A) may indicate a less urgent issue like implantation bleeding. Severe abdominal pain with increasing fundal height (choice
B) could be a sign of preterm labor or placenta previa. Intermittent abdominal pain following passage of bloody mucus (choice
D) may indicate preterm labor or bloody show, but it is not as concerning as bright red bleeding without pain in the context of possible placental
Extract:
A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 4 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I call the doctor if I see any bleeding." This statement demonstrates understanding because it shows the client recognizes the importance of seeking medical attention in case of bleeding, indicating concern for the child's well-being. In contrast, B assumes a quick healing process, which may not always be the case. C focuses on diaper fit, unrelated to the child's injury. D suggests using alcohol swabs, which can be harmful. E, while mentioning hygiene, does not address the specific concern of bleeding. Overall, A is the best choice as it prioritizes seeking medical help for a potentially serious issue.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 5 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: Report the client's temperature elevation. This is the priority action as it indicates a potential infection, which can be life-threatening for the client and baby. Reporting allows for timely intervention. B is incorrect as it does not address the underlying issue. C is not indicated without further assessment. D is incorrect as it does not address the temperature elevation. Focusing on milk supply is not the priority.