ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant client
Question 1 of 5
A nurse suspects that a pregnant client may be experiencing placenta abruption based on which finding? Select all that apply.
Correct Answer: C,D,E
Rationale: Placental abruption involves sudden separation of the placenta, causing severe pain, a rigid uterus from bleeding, dark red vaginal bleeding due to clotted blood, and absent fetal heart tones if the fetus is compromised. Absence of pain and insidious onset are not typical, as abruption is acute and painful.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 2 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating
Correct Answer: A
Rationale: Hemodilution of pregnancy occurs as plasma volume increases more than red blood cell mass, lowering hemoglobin to 10.5-14 g/dL in the second trimester, which includes 11 g/dL. Multiple gestation may raise hemoglobin, weight gain doesn't affect it, and iron-deficiency anemia typically shows lower hemoglobin with symptoms like fatigue.
Extract:
A pregnant client receiving prenatal care
Question 3 of 5
A nurse is providing prenatal care to a pregnant client. At which time would the nurse expect to screen the client for group B streptococcus infection?
Correct Answer: D
Rationale: Screening for group B streptococcus (GBS) is done at 35-37 weeks (36 weeks is closest) to assess colonization status near delivery, guiding intrapartum antibiotic use to prevent neonatal infection. Earlier screening (16, 28, or 32 weeks) may not reflect status at birth, as GBS colonization can change.
Extract:
A client at her first prenatal visit
Question 4 of 5
A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: B
Rationale: Prenatal vitamins provide 600 mcg/day folic acid, meeting pregnancy needs to prevent neural tube defects. Vitamin E needs remain at 15 mg/day, protein increases slightly to 1.1 g/kg/day (not doubled), and calcium needs stay at 1000 mg/day due to enhanced absorption, not requiring an increase.
Extract:
A pregnant woman with a pigmented line down the middle of her abdomen
Question 5 of 5
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
Correct Answer: B
Rationale: Linea nigra is a dark line from umbilicus to pubis caused by increased melanin from hormonal changes. Striae gravidarum are stretch marks, vascular spiders are dilated vessels on face or chest, and melasma is facial pigmentation, none matching the abdominal line description.