ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "It assists in identifying the location of the placenta and fetus." This response is appropriate because ultrasound imaging can indeed help in determining the positions of both the placenta and fetus within the uterus, aiding in monitoring fetal growth and development.
Choice A is incorrect because ultrasound is not specifically a screening tool for spina bifida.
Choice B is incorrect as ultrasound is primarily used for assessing fetal growth and development, not estimating fetal age.
Choice D is incorrect because while ultrasound can detect multiple fetuses, its primary purpose is not to determine the number of fetuses present.
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 2 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.
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 3 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 reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 4 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: The correct answer is D: "You will need an immunization following delivery." This statement is correct because rubella immunity acquired from a previous infection or vaccination can decrease over time, especially during pregnancy. Postpartum rubella vaccination can boost immunity to protect both the mother and future pregnancies.
A: Incorrect - Past infection does not guarantee current immunity.
B: Incorrect - Administering the vaccine during pregnancy is contraindicated.
C: Incorrect - Immunity status should be confirmed through blood tests.
D: Correct - Postpartum immunization is recommended to ensure protection.
E, F, G: N/A
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 5 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weeks of gestation. Amniocentesis is a procedure used to detect genetic abnormalities in the fetus by analyzing the amniotic fluid. It is done around 15-20 weeks of gestation to determine the fetal age accurately. This information is crucial for monitoring the pregnancy's progress and ensuring appropriate prenatal care.
Choices A, C, and D are incorrect as amniocentesis is not primarily used to determine the gender of the fetus, detect anatomic abnormalities, or assess lung maturity.