ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 1 of 5
Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinary urgency. This manifestation is relevant for a nurse to include in teaching as it can indicate potential urinary issues or infections. Heartburn (
A) and constipation (
B) are not typically associated with urinary problems. Supine hypotension (
D) is a condition where blood pressure drops when lying down, not related to urinary urgency.
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 2 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 is preparing to examine a post-term newborn immediately following delivery.
Question 3 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct findings the nurse should expect to observe in a newborn are cracked, peeling skin (choice
C) and vernix in the folds and creases (choice E). Cracked, peeling skin is a normal postnatal adaptation due to the loss of the protective vernix caseosa. Vernix in the folds and creases is also expected as it helps protect the skin from the amniotic fluid. Moro reflex (choice
A) is a newborn reflex that involves the spreading out and then drawing in of the infant's arms in response to a sensation of falling, so this is not a expected finding. Heel to ear maneuverability (choice
B) is not a typical newborn assessment, so it is an incorrect choice. Abundant lanugo (choice
D) is fine hair that covers a newborn's body and is typically shed before birth, so it is an incorrect finding for a newborn.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 4 of 5
Which of the following complications should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Newborn hypoglycemia. This complication should be included because infants born to mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt decrease in glucose supply after birth. The other options are not directly related to gestational diabetes. A (Small for gestational age) is a condition where the baby is smaller than expected, not necessarily due to gestational diabetes. B (Oligohydramnios) is a low level of amniotic fluid, which is not typically a complication of gestational diabetes. D (Placenta previa) is a condition where the placenta partially or completely covers the cervix, unrelated to gestational diabetes.
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 5 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.