ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Question 1 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:
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 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C,D,E
Rationale: The nurse should report weight, visual disturbances, and blood pressure to the provider as they indicate potential health issues. Weight changes can signal fluid retention or malnutrition. Visual disturbances may signify neurological or ocular problems. Abnormal blood pressure levels can indicate cardiovascular issues or preeclampsia. Respirations, fetal heart rate, and deep tendon reflexes are typically monitored during routine assessments and don't necessarily require immediate reporting unless significantly abnormal.
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 3 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinary urgency. This manifestation is relevant for a nurse to include in teaching as it can indicate potential urinary issues or infections. Heartburn (
A) and constipation (
B) are not typically associated with urinary problems. Supine hypotension (
D) is a condition where blood pressure drops when lying down, not related to urinary urgency.
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 caring for a client who is postpartum.
Question 5 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: The correct answer is A. Rho(
D) immune globulin is administered to Rh-negative mothers who give birth to Rh-positive babies to prevent sensitization of the mother's immune system. If the mother's blood is exposed to Rh-positive blood during birth, she may develop antibodies that can harm future Rh-positive pregnancies.
Choices B, C, and D do not involve the Rh incompatibility issue, so Rho(
D) immune globulin is not indicated.