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 with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Question 2 of 5
Which of the following statements should the nurse tell the client?
Correct Answer: D
Rationale: The correct answer is D: "You will need an immunization following delivery." This statement is correct because rubella immunity acquired from a previous infection or vaccination can decrease over time, especially during pregnancy. Postpartum rubella vaccination can boost immunity to protect both the mother and future pregnancies.
A: Incorrect - Past infection does not guarantee current immunity.
B: Incorrect - Administering the vaccine during pregnancy is contraindicated.
C: Incorrect - Immunity status should be confirmed through blood tests.
D: Correct - Postpartum immunization is recommended to ensure protection.
E, F, G: N/A
Extract:
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
Question 3 of 5
The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Placenta previa. This condition occurs when the placenta partially or completely covers the cervix, leading to painless vaginal bleeding in the third trimester. Abruptio placentae (
A) presents with painful vaginal bleeding, Preterm labor (
C) involves regular contractions and cervical changes, and Threatened abortion (
D) is associated with vaginal bleeding and cramping in the first trimester. Placenta previa best fits the description of painless bleeding in the third trimester.
Extract:
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 4 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: The correct answer is A: Maternal hypertension. Maternal hypertension is the most common risk factor for placental abruption due to the increased pressure within the blood vessels, which can lead to separation of the placenta from the uterine wall. This can result in fetal distress and maternal hemorrhage. Maternal battering, cigarette smoking, and cocaine use can also increase the risk of placental abruption, but they are not as common as hypertension. Maternal battering can cause trauma to the abdomen leading to abruption. Cigarette smoking can reduce oxygen supply to the placenta, and cocaine use can constrict blood vessels, both contributing to abruption. However, hypertension remains the most prevalent risk factor.
Extract:
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.'
Question 5 of 5
Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about your concerns." This response demonstrates active listening, empathy, and encourages the patient to express their thoughts and feelings. It helps build rapport and trust.
Choice B is dismissive and may increase anxiety.
Choice C is nontherapeutic as it invalidates the patient's feelings.
Choice D is coercive and does not address the patient's concerns. Overall, choice A is the most appropriate therapeutic response as it promotes open communication and patient-centered care.