ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
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 1 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung maturity by promoting surfactant production, reducing respiratory distress risk in preterm birth.
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 2 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Slight yellowing at 12 hours suggests physiologic jaundice, common in newborns as the liver matures to process bilirubin, typically peaking day 2-3. Blood incompatibility causes earlier, severe jaundice; cocaine or vitamin K issues don't typically cause this.
Extract:
A nurse is caring for a client who is postpartum.
Question 3 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin prevents Rh sensitization in an Rh-negative mother with an Rh-positive newborn by neutralizing fetal Rh-positive cells entering maternal circulation, protecting future pregnancies.
Extract:
A nurse is reviewing laboratory results from a client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 180 mg/dL to 250 mg/dL over the past week.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevated postprandial glucose (180-250 mg/dL) in gestational diabetes suggests poor control, often requiring insulin. Increasing carbs worsens hyperglycemia, a tolerance test is unnecessary post-diagnosis, and HbA1c isn't ideal for short-term management in pregnancy.
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: Betamethasone enhances fetal lung maturity by promoting surfactant production, reducing respiratory distress risk in preterm birth.