ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 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 caring for a client who is 1 day postpartum following a cesarean birth.
Question 2 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The explanation in the document is incorrect. The correct answer should be C: Assisting the client to ambulate promotes circulation and prevents thrombophlebitis, which is a risk after cesarean birth due to immobility. Pillows under the knees can impede venous return, hot soaks are not preventive, and bed rest increases stasis risk. However, per the document's provided answer, A is listed, though it's likely a mistake.
Extract:
A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Increasing folic acid intake is crucial during pregnancy to prevent neural tube defects. Stopping prenatal vitamins due to nausea is incorrect, as they're essential. Limiting iron risks anemia, and 750 extra calories exceed the recommended 300-500.
Extract:
A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The stump typically falls off in 10-14 days, a key teaching point. Baby oil, immersion, and diaper covering are incorrect for infection prevention and healing.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 5 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: Post-term newborns show cracked, peeling skin (
C) and vernix in creases (E) due to prolonged gestation. Lanugo decreases, and Moro is universal.