ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 1 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: Tell me more about your concerns' encourages the client to express fears, fostering trust and allowing tailored support. Other options dismiss her anxiety or provide irrelevant information.
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 2 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: Painless, bright red bleeding at 36 weeks suggests placenta previa, where the placenta covers the cervix. Abruptio placentae involves painful, dark bleeding, preterm labor involves contractions, and threatened abortion occurs earlier with cramping.
Extract:
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure.
Question 3 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Ultrasound before amniocentesis locates the placenta and fetus for safe needle placement, minimizing risks.
Extract:
A nurse is admitting a full-term baby boy delivered 12 hours ago to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.
Question 4 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Slight yellowing at 12 hours suggests physiologic jaundice, common in newborns as the liver matures to process bilirubin, typically peaking day 2-3. Blood incompatibility causes earlier, severe jaundice; cocaine or vitamin K issues don't typically cause this.
Extract:
A nurse is assisting with the care of a client who is using paced breathing during the first stage of labor. The client says she feels lightheaded and her fingers are tingling.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lightheadedness and tingling suggest hyperventilation; rebreathing CO2 via a paper bag corrects alkalosis. Other options worsen or misaddress the issue.