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: The correct answer is A: "Tell me more about your concerns." This response demonstrates active listening, empathy, and encourages the patient to express their thoughts and feelings. It helps build rapport and trust.
Choice B is dismissive and may increase anxiety.
Choice C is nontherapeutic as it invalidates the patient's feelings.
Choice D is coercive and does not address the patient's concerns. Overall, choice A is the most appropriate therapeutic response as it promotes open communication and patient-centered care.
Extract:
A nurse is updating the plan of care for a newborn who is undergoing phototherapy.
Question 2 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Monitor the baby's temperature while on phototherapy. This is crucial because phototherapy can cause fluctuations in the baby's body temperature, leading to potential complications. Monitoring the temperature allows the nurse to detect any abnormalities promptly.
Choice A is incorrect as newborns should be placed in a supine position to reduce the risk of sudden infant death syndrome (SIDS).
Choice B is incorrect as applying lotion may interfere with the baby's skin integrity.
Choice C is incorrect as monitoring blood glucose hourly is not necessary unless there are specific risk factors.
Extract:
A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.'
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is using a postpartum depression-screening tool with the client (
Choice
D). This is the priority because postpartum depression can have serious consequences for both the mother and the baby. Screening for postpartum depression allows for early identification and intervention, which is crucial for the well-being of the mother and infant. Counseling (
Choice
A) may be needed, but addressing the possibility of postpartum depression should come first. Requesting antidepressant medication (
Choice
B) should only be considered after a proper assessment and diagnosis. Reinforcing teaching about rest and sleep (
Choice
C) is important but addressing mental health concerns takes precedence.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 5 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Placenta previa. This condition occurs when the placenta partially or completely covers the cervix, leading to painless vaginal bleeding in the third trimester. Abruptio placentae (
A) presents with painful vaginal bleeding, Preterm labor (
C) involves regular contractions and cervical changes, and Threatened abortion (
D) is associated with vaginal bleeding and cramping in the first trimester. Placenta previa best fits the description of painless bleeding in the third trimester.