ATI Custom PNU Maternity Fall 2023 | Nurselytic

Questions 48

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ATI Custom PNU Maternity Fall 2023 Questions

Extract:

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.


Question 1 of 5

Which of the following information should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: This test will screen for neural tube defects. The nurse should include this information because screening for neural tube defects is a crucial component of prenatal care to detect conditions like spina bifida. ABO incompatibility (
A) is related to blood type, not typically screened for in routine prenatal tests. Fetal maturity (
B) is usually assessed through other methods like ultrasound, not through a screening test. Gestational diabetes (
D) is screened separately through glucose tolerance tests.
Therefore, choice C is the most relevant information for the nurse to provide.

Extract:

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.


Question 2 of 5

Which of the following statements should the nurse make?

Correct Answer: A

Rationale: The correct answer is A because the medication mentioned is likely a corticosteroid given to pregnant women at risk for preterm birth to enhance fetal lung maturity. This statement provides accurate information about the medication's purpose.
Choice B is incorrect as stopping preterm labor contractions is usually managed with tocolytic medications, not corticosteroids.
Choice C is incorrect as corticosteroids do not affect fetal heart rate.
Choice D is incorrect as corticosteroids do not halt cervical dilation but rather help with fetal lung development.

Extract:

A nurse is caring for a newborn immediately after birth.


Question 3 of 5

Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer: B

Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.

Extract:

A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation.


Question 4 of 5

The nurse should document which of the following as the client's present gravidity (G)?

Correct Answer: D

Rationale: The correct answer is D (4) because present gravidity (G) refers to the total number of pregnancies a woman has had, including the current one. Gravidity counts all pregnancies, whether they resulted in live births, stillbirths, or miscarriages.

Choices A, B, and C represent the number of previous pregnancies, excluding the current one.
Therefore, they do not accurately reflect the client's present gravidity.
Choice D is correct as it includes the current pregnancy, giving the most accurate representation of the client's total number of pregnancies.

Extract:

A nurse is assisting in the care of a client who is to undergo an amniotomy.


Question 5 of 5

Which of the following is the priority nursing action following this procedure?

Correct Answer: A

Rationale: The correct answer is A: Check the fetal heart rate pattern. This is the priority nursing action because it assesses the well-being of the fetus immediately after a procedure that may impact fetal distress. Monitoring the fetal heart rate helps identify any potential complications and guides further interventions. Evaluating for signs of infection (
B) is important but not the immediate priority post-procedure. Taking the client's temperature (
C) and observing amniotic fluid (
D) are important assessments but do not directly address fetal well-being.

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