ATI > RN

Exam Review

ATI Custom PNU Maternity Fall 2023

Total Questions : 48

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Question 1:
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.
Which of the following should the nurse administer?
Answer and Explanation

A
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Question 2:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Answer and Explanation

A
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Question 3:
A nurse is reinforcing teaching about reducing the risk of perineal infection with a client who had a vaginal birth.
Which of the following information should the nurse include in the teaching? (Select all that apply.).
Answer and Explanation

A
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Question 4:

A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Which of the following statements should the nurse include?

Answer and Explanation

A
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Question 5:

A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Which of the following statements should the nurse tell the client?

Answer and Explanation

A
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Question 6:

A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding.
The nurse recognizes this finding as an indication of which of the following conditions?

Answer and Explanation

A
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Question 7:
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Answer and Explanation

A
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Question 8:
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.”. Which of the following is an appropriate therapeutic response by the nurse?
Answer and Explanation

A
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Question 9:
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella.
The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
Answer and Explanation

A
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Question 10:
A nurse is preparing to administer vitamin K 1mg IM to a newborn.
Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.
Use a leading zero if it applies.
Do not use a trailing zero.).
Answer and Explanation

A
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Question 11:
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.
Which of the following actions should the nurse take?
Answer and Explanation

A
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Question 12:
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.
This finding indicates the newborn is experiencing a complication related to which of the following?
Answer and Explanation

A
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Question 13:
A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Answer and Explanation

A
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Question 14:
A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Answer and Explanation

A
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Question 15:

A nurse is caring for a client who is pregnant in a provider's office.

Vital Signs.

0800: Temperature 36.6°C (97.9°F). Pulse rate 88/min.

Respirations 20/min.

Blood pressure 179/99 mm Hg. 0815: Pulse rate 82/min.

Respirations 16/min.

Blood pressure 168/104 mm Hg. 0830: Pulse rate 81/min.

Respirations 16/min.

Blood pressure 170/101 mm Hg. Medical History.

0830: Gravida 3 Para 2. 32 weeks of gestation.

Allergies: Penicillin.

Height 5'4, 163 cm. Weight 80.7 kg (178 lb). BMI 30.6. 6 lb weight gain over the last 2 weeks.

Client reports, "I have had a headache for 5 days, blurred vision, and dizziness.

Tylenol does not relieve it.”. Client reports swelling of their feet and fingers.

2+ pitting edema of the lower extremities noted bilaterally.

Swelling of the fingers and hands noted.

Deep tendon reflexes 3+, absent clonus.

Fetal heart tones (FHT) 148.
Which of the following findings should the nurse report to the provider?

Answer and Explanation

A
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Question 16:
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Answer and Explanation

A
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Question 17:
A nurse is assisting a client with breastfeeding her newborn.
The nurse should explain that which of the following reflexes will initiate sucking?
Answer and Explanation

A
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Question 18:
Which of the following reflects the normal sequence of postpartum vaginal discharge?
Answer and Explanation

A
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Question 19:
A nurse is receiving report about assigned clients at the start of his shift.
Which of the following clients should the nurse plan to attend to first?
Answer and Explanation

A
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Question 20:

A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Which of the following instructions should the nurse include?

Answer and Explanation

A
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Question 21:
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.”. Which of the following actions should the nurse take first?
Answer and Explanation

A
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Question 22:
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule.
The first day of her last menstrual period was April 4, 2023.
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?
Answer and Explanation

A
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Question 23:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
The client needs an amniocentesis to determine which of the following findings?
Answer and Explanation

A
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Question 24:
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis.
The client asks why she is having an ultrasound prior to the procedure.
Which of the following responses by the nurse is appropriate?
Answer and Explanation

A
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Question 25:
A nurse is assisting with the care of a client who is using paced breathing during the first stage of labor.
The client says she feels lightheaded and her fingers are tingling.
Which of the following actions should the nurse take?
Answer and Explanation

A
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