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: Pelvic pain is a hallmark of ectopic pregnancy due to tubal stretching or rupture. Bleeding is typically less than miscarriage, and uterine size remains normal.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 2 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: A negative rubella titer means no immunity, so immunization post-delivery is needed to protect future pregnancies. Rubella vaccine is contraindicated during pregnancy, and a negative titer disproves past infection or immunity.
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 3 of 5
Which of the following statements indicates that the client understands the teaching?
Correct Answer: D
Rationale: Eating crackers before rising helps manage nausea in hyperemesis gravidarum by stabilizing stomach acid. Other options may exacerbate symptoms.
Extract:
Vital Signs: 0800: Temperature 36.6°C (97.9°F), Pulse 88/min, Respirations 20/min, BP 179/99 mm Hg. 0815: Pulse 82/min, Respirations 16/min, BP 168/104 mm Hg. 0830: Pulse 81/min, Respirations 16/min, BP 170/101 mm Hg. Medical History: Gravida 3 Para 2, 32 weeks gestation, Allergies: Penicillin, Height 5'4, Weight 80.7 kg (178 lb), BMI 30.6, 6 lb weight gain in 2 weeks. Client reports 5-day headache, blurred vision, dizziness, unrelieved by Tylenol, swelling of feet/fingers, 2+ pitting edema, DTR 3+, FHT 148.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C,D,E
Rationale: Weight gain (
C), visual disturbances (
D), and elevated BP (E) (170/101 mm Hg) suggest preeclampsia, requiring urgent reporting. Normal FHR (148), respirations, and DTR 3+ are less immediate concerns.
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: Phototherapy can cause heat loss; monitoring temperature prevents hypothermia. Other options are incorrect or unnecessary.