ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Wash the cord daily with mild soap and water. This instruction is important for preventing infection and promoting healing of the umbilical cord stump. Washing with mild soap and water helps keep the area clean and reduces the risk of bacterial growth. Covering the cord with a diaper (
A) can trap moisture and lead to infection. Wrapping the cord in petroleum jelly gauze (
B) can also create a moist environment that promotes bacterial growth. Bathing the newborn with a washcloth until the cord stump falls off (
C) may not be necessary and can increase the risk of contamination. Overall, the correct instruction of washing the cord daily with mild soap and water is the most effective and safe approach for umbilical cord care.
Extract:
A nurse is reviewing laboratory results from a client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 180 mg/dL to 250 mg/dL over the past week.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is C: Anticipate an order for insulin administration. This is the correct answer because insulin administration is indicated when a patient has uncontrolled diabetes with high blood sugar levels. The nurse should anticipate this order to help manage the patient's blood glucose levels effectively.
A: Increasing carbohydrates may further elevate blood sugar levels in a patient with uncontrolled diabetes.
B: A 2-hr oral glucose tolerance test is not the immediate action needed for a patient with uncontrolled diabetes.
D: Obtaining an HbA1c is useful for assessing long-term glucose control but does not address the immediate need for insulin administration.
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: The correct answer is B: Determine the client's temperature. This step is crucial to assess if the client has a fever, which could indicate an underlying infection or illness leading to seizures. Placing the client on seizure precautions (
A) is not a priority without assessing the client's current condition. Covering the client with warm blankets (
C) is not necessary without knowing the client's temperature. Notifying the charge nurse (
D) can be done after assessing the client's temperature.
Extract:
A nurse is assisting in the care of a newborn following birth. At 1 min after birth, the nurse notes: heart rate 110/min; slow, weak cry; some flexion of extremities; responds to suctioning of the nares with respiration of 20; body pink in color with blue extremities.
Question 4 of 5
What should the nurse document as the newborn's 1-min Apgar score?
Correct Answer: A
Rationale: The correct answer is A: 6. The Apgar score assesses the newborn's overall well-being at 1 and 5 minutes after birth based on five criteria: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each criterion is scored from 0 to 2, with a total score ranging from 0 to 10. A score of 6 at 1 minute indicates that the newborn may need some assistance or stimulation to establish breathing and circulation. Scores of 7-10 are considered normal, while scores below 7 may indicate the need for immediate medical attention.
Choices B, C, D, and E are incorrect as they represent higher Apgar scores indicating better overall well-being, which is not the case for a score of 6 at 1 minute.
Extract:
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was April 4, 2023.
Question 5 of 5
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Correct Answer: B
Rationale: The correct answer is B: January 11, 2024. The estimated date of delivery (ED
D) is calculated by adding 280 days (40 weeks) to the first day of the woman's last menstrual period (LMP). For this question, the LMP would be around April 6, 2023 (approximately 280 days before January 11, 2024).
Therefore, January 11, 2024, is the most accurate estimated date of delivery.
A: February 27, 2023 -
Too early based on the 40-week gestation period.
C: April 4th, 2024 -
Too late based on the 40-week gestation period.
D: April 11, 2023 -
Too early based on the 40-week gestation period.