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: 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.
Extract:
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: This test will screen for neural tube defects. The nurse should include this information because screening for neural tube defects is a crucial component of prenatal care to detect conditions like spina bifida. ABO incompatibility (
A) is related to blood type, not typically screened for in routine prenatal tests. Fetal maturity (
B) is usually assessed through other methods like ultrasound, not through a screening test. Gestational diabetes (
D) is screened separately through glucose tolerance tests.
Therefore, choice C is the most relevant information for the nurse to provide.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
Question 4 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 caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client's temperature. This step is crucial to assess if the client has a fever, which could indicate an underlying infection or illness leading to seizures. Placing the client on seizure precautions (
A) is not a priority without assessing the client's current condition. Covering the client with warm blankets (
C) is not necessary without knowing the client's temperature. Notifying the charge nurse (
D) can be done after assessing the client's temperature.