ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You will have a weight gain of 0.5 to 1.5 kilograms. This statement should be included because it informs the patient about the expected weight gain, which is a common side effect of taking corticosteroids. The weight gain is due to fluid retention and increased appetite.
Choices A, B, and C are incorrect as they do not accurately reflect the common side effects of corticosteroids. Urinary retention is not a typical side effect, vaginal discharge does not usually decrease, and a surge of energy is not commonly associated with corticosteroid use.
Extract:
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 2 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 caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 3 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.
Extract:
A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.'
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is using a postpartum depression-screening tool with the client (
Choice
D). This is the priority because postpartum depression can have serious consequences for both the mother and the baby. Screening for postpartum depression allows for early identification and intervention, which is crucial for the well-being of the mother and infant. Counseling (
Choice
A) may be needed, but addressing the possibility of postpartum depression should come first. Requesting antidepressant medication (
Choice
B) should only be considered after a proper assessment and diagnosis. Reinforcing teaching about rest and sleep (
Choice
C) is important but addressing mental health concerns takes precedence.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 5 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.