Questions 61

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ATI Maternal Newborn Midterm Exam 1 Questions

Extract:

A woman older than 35 years.


Question 1 of 5

What is the main reason why a woman who is older than 35 years may have difficulty achieving pregnancy?

Correct Answer: B

Rationale: Aging reduces ovarian reserve and egg quality, impacting fertility most significantly, unlike contraceptives, medical attention, or behaviors.

Extract:

None specified.


Question 2 of 5

Which suggestions should the nurse include when teaching about appropriate weight gain in pregnancy? (Select all that apply)

Correct Answer: A,B,C

Rationale: Normal and underweight women follow IOM guidelines, and adolescents need higher gains. Twin gestations have specific ranges, not doubled.

Extract:

A pregnant woman with abruptio placentae.


Question 3 of 5

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

Correct Answer: D

Rationale: Intense abdominal pain is characteristic of abruptio placentae due to blood irritating uterine nerves, unlike placenta previa's painless bleeding. Cramping and uterine activity are less specific.

Extract:

A patient with pregnancy-induced hypertension complaining of pounding headache, visual changes, and epigastric pain.


Question 4 of 5

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication of:

Correct Answer: C

Rationale: These symptoms indicate severe preeclampsia, risking eclampsia, not anxiety, drug effects, or simple GI upset.

Extract:

None specified.


Question 5 of 5

Why is glucose metabolism profoundly affected during pregnancy?

Correct Answer: B

Rationale: Placental hormones like human placental lactogen cause insulin resistance, ensuring fetal glucose supply, unlike rapid use, pancreatic issues, or diet changes.

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