ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
Question 1 of 5
Which of the following reflects the normal sequence of postpartum vaginal discharge?
Correct Answer: D
Rationale: The correct sequence is Lochia rubra, lochia serosa, lochia alba. Lochia rubra consists of blood and tissue debris, lasting for the first 3-4 days postpartum. Lochia serosa is pinkish or brownish and persists from days 4-10. Lochia alba is the final stage, yellowish-white discharge lasting up to 6 weeks. This sequence reflects the normal progression of postpartum vaginal discharge, starting with the presence of blood and ending with a lighter-colored discharge as the healing process progresses.
Choice D is correct.
Choices A, B, and C have the sequence of colors in the incorrect order, not following the typical progression of postpartum discharge.
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 2 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 reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 3 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 reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 4 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: The correct answer is A: Maternal hypertension. Maternal hypertension is the most common risk factor for placental abruption due to the increased pressure within the blood vessels, which can lead to separation of the placenta from the uterine wall. This can result in fetal distress and maternal hemorrhage. Maternal battering, cigarette smoking, and cocaine use can also increase the risk of placental abruption, but they are not as common as hypertension. Maternal battering can cause trauma to the abdomen leading to abruption. Cigarette smoking can reduce oxygen supply to the placenta, and cocaine use can constrict blood vessels, both contributing to abruption. However, hypertension remains the most prevalent risk factor.
Extract:
Duplicate of Question 34: A nurse is caring for a client who has just learned that she is pregnant.
Question 5 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This is because facial edema can indicate a serious issue such as an allergic reaction or kidney problem, which requires immediate medical attention. Decreased energy (
A) is nonspecific and may not be urgent. Urinary frequency (
B) is common and may not require immediate intervention. Mood swings (
C) can be a normal part of hormonal changes and not necessarily concerning. In summary, facial edema is the most critical symptom that warrants prompt communication with the healthcare provider compared to the other manifestations listed.