ATI RN
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: MSAFP screens for neural tube defects by measuring alpha-fetoprotein levels, which elevate with open defects like spina bifida.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 2 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 caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Shaking chills may indicate infection (e.g., endometritis); determining temperature assesses for fever, guiding further action.
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 4 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 teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Weight gain of 0.5-1.5 kg from fluid or edema often precedes labor. Other signs are inaccurate or variable.