ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: "You should increase your folic acid intake during your pregnancy." This is because folic acid is crucial for preventing neural tube defects in the developing fetus. It is recommended that pregnant women increase their intake of folic acid to at least 600 micrograms per day. Adequate folic acid intake is essential during pregnancy to support the baby's brain and spinal cord development.
Explanation for incorrect choices:
A: Incorrect. Nausea is a common symptom during pregnancy, but stopping prenatal vitamins can deprive the mother and baby of essential nutrients.
C: Incorrect. Iron intake is important during pregnancy to prevent anemia, especially in the first trimester when blood volume increases.
D: Incorrect. While calorie needs increase during pregnancy, the general recommendation is an additional 300-500 calories per day, not 750.
Extract:
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Question 2 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 assisting a client with breastfeeding her newborn.
Question 3 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The correct answer is A: Rooting. When the cheek or lip is touched, the infant turns the head toward the stimulus and opens the mouth to suck. This reflex helps initiate sucking during breastfeeding. Moro reflex (
B) is a startle reflex, stepping reflex (
C) is for walking, and Babinski reflex (
D) is for assessing neurological function.
Choices E, F, G are not applicable.
Extract:
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 4 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Calcium gluconate. In cases of calcium channel blocker toxicity, calcium gluconate is administered to counteract the effects of the overdose by increasing calcium levels and improving cardiac contractility. Flumazenil (
B) is used for benzodiazepine overdose, naloxone (
C) for opioid overdose, and protamine sulfate (
D) for heparin overdose. Calcium gluconate is the appropriate choice in this scenario due to the indication of calcium channel blocker toxicity.
Extract:
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump.
Question 5 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.