ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is pregnant and has phenylketonuria (PKU).
Question 1 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: B
Rationale: The correct answer is B: Peanut butter. Peanut butter is high in fat which can exacerbate certain health conditions like heart disease or high cholesterol. Potatoes (
A) are a good source of nutrients when consumed in moderation. Broccoli (
C) is a healthy vegetable that should be included in a balanced diet. Apple juice (
D) can be a part of a healthy diet if consumed in moderation. In summary, eliminating peanut butter is important due to its high-fat content, while the other options can be part of a healthy diet when consumed in moderation.
Extract:
A client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy.
Question 2 of 5
For which of the following indications should the nurse administer Rho(D) Immune globulin?
Correct Answer: C
Rationale: The correct answer is C because Rho(
D) Immune globulin is administered to Rh-negative individuals to prevent sensitization to Rh-positive blood. This is crucial in preventing hemolytic disease of the newborn in future pregnancies.
Choice A is incorrect as the desire to conceive does not warrant the administration of Rho(
D) Immune globulin.
Choice B is incorrect because having previously given birth to an Rh-negative infant does not necessitate the administration of Rho(
D) Immune globulin.
Choice D is incorrect as significant blood loss during a procedure does not directly relate to the need for Rho(
D) Immune globulin.
Extract:
A newborn who is small for gestational age (SGA).
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Blood glucose instability. In diabetes, fluctuations in blood glucose levels are common due to inadequate insulin production or utilization. This can lead to hyperglycemia or hypoglycemia. The nurse should expect this finding as it is a hallmark of diabetes management. Retinopathy (
A) is a complication of long-standing uncontrolled diabetes, not an immediate finding. Decreased circulating RBC (
B) is not directly related to diabetes but can be seen in conditions like anemia. A well-rounded abdomen (
C) is a vague finding and not specific to diabetes.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 4 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 is indicative of placental abruption, a serious complication during pregnancy. Bright red bleeding without pain suggests a separation of the placenta from the uterine wall, which can lead to fetal distress and maternal hemorrhage. Monitoring the client for this symptom is crucial for prompt intervention.
Choice A, severe abdominal pain with increasing fundal height, may suggest preterm labor or placental previa, but it does not specifically indicate the urgency of placental abruption as in choice C.
Choice B, abdominal pain with minimal red vaginal bleeding, could be a sign of threatened miscarriage, but it is not as concerning as the large amount of bright red bleeding without pain in placental abruption.
Choice D, intermittent abdominal pain following passage of bloody mucus, may indicate early labor or mucus plug expulsion, but it does not point to the immediate risk of placental abruption as in choice C
Extract:
A client who is postpartum.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.