ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A woman who wants to become pregnant with a 28-day menstrual cycle, first day of her menstrual period was January 8
Question 1 of 5
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: D
Rationale: Ovulation typically occurs around day 14 of a 28-day cycle, counting from the first day of the menstrual period. The fertile period includes about 5 days before and 1 day after ovulation due to sperm survival time. For a cycle starting January 8, day 14 is January 21, so the fertile window is approximately January 16-22. January 14-15 falls within this window, accounting for early ovulation variability.
Extract:
Client whose last menstrual period started on February 13th
Question 2 of 5
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?
Correct Answer: A
Rationale: Nagele's rule calculates EDC by subtracting 3 months from the first day of the last menstrual period and adding 7 days. Starting from February 13, subtracting 3 months gives November 13, and adding 7 days results in November 20.
Extract:
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions
Question 3 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: D
Rationale: GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.
Extract:
A 21-year-old Hispanic patient with limited English proficiency
Question 4 of 5
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
Correct Answer: C
Rationale: Effective communication is critical, especially with language barriers. Assessing understanding ensures the patient comprehends health information, reducing risks of misinformation. Handouts may not be in the patient's language, speaking quickly can hinder comprehension, and jargon can confuse rather than educate.
Extract:
A woman with severe abdominal and pelvic pain around menstruation, pain during intercourse, and 18 months of infertility
Question 5 of 5
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
Correct Answer: B
Rationale: Endometriosis involves endometrial tissue outside the uterus, causing chronic pain during menstruation and intercourse, and often infertility due to scarring and adhesions. Primary dysmenorrhea is not associated with infertility, secondary dysmenorrhea may not involve all symptoms, and PMS does not typically cause severe pain or infertility.