ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 1 of 5
Which of the following statements indicates that the client understands the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eat crackers before I get out of bed in the morning." This statement indicates understanding as it demonstrates compliance with a specific teaching instruction. Eating crackers before getting out of bed is a common recommendation for managing morning sickness or low blood sugar levels upon waking.
Choices A, B, and C are incorrect because they do not directly address a specific teaching point or demonstrate understanding of the instruction given.
Choice A focuses on timing rather than the actual instruction.
Choice B mentions water consumption, which is not necessarily related to the teaching.
Choice C talks about limiting protein intake, which may or may not be relevant to the teaching provided.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 2 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 about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 3 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 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: The correct answer is B: Physiologic jaundice. Physiologic jaundice is common in newborns due to the breakdown of red blood cells and immature liver function. This leads to an increase in bilirubin levels, causing yellowing of the skin and eyes. Maternal/newborn blood group incompatibility (
A) would present with hemolytic disease of the newborn. Maternal cocaine abuse (
C) can lead to various complications but is not directly related to jaundice. Absence of vitamin K (
D) can cause bleeding issues but is not typically associated with jaundice in newborns.
Extract:
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the medication mentioned is likely a corticosteroid given to pregnant women at risk for preterm birth to enhance fetal lung maturity. This statement provides accurate information about the medication's purpose.
Choice B is incorrect as stopping preterm labor contractions is usually managed with tocolytic medications, not corticosteroids.
Choice C is incorrect as corticosteroids do not affect fetal heart rate.
Choice D is incorrect as corticosteroids do not halt cervical dilation but rather help with fetal lung development.