ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A woman who wants to become pregnant has a 28-day menstrual cycle and the first day of her last 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 last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: B
Rationale: In a 28-day menstrual cycle, ovulation typically occurs around day 14, counted from the first day of the last menstrual period. For a cycle starting January 8, day 14 is January 22. The fertile window includes the five days before ovulation and the day after, making January 22-23 the peak fertile period, as sperm can survive up to 5 days, and the egg is viable for about 24 hours post-ovulation.
Extract:
A 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. For February 13, subtracting 3 months gives November 13, and adding 7 days results in November 20, making it the most accurate date.
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: B
Rationale: GTPAL stands for Gravida (pregnancies), Term (full-term births), Preterm (preterm births), Abortions, and Living children. The woman has had 3 pregnancies (twins count as one pregnancy), 1 full-term birth, 1 preterm birth (twins), 0 abortions, and 3 living children, correctly documented as 3-1-1-0-3.
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: Assessing understanding is critical, especially with language barriers, to ensure effective communication and education. Handouts may not be accessible, jargon can confuse, and speaking quickly hinders comprehension.
Extract:
A woman who complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years, pain during intercourse, and has tried unsuccessfully to get pregnant for the past 18 months.
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 pelvic pain, dysmenorrhea, dyspareunia, and infertility, matching the symptoms described. Primary dysmenorrhea and PMS don't typically cause infertility or pain during intercourse, and secondary dysmenorrhea is less specific.