ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 1 of 5
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care?
Correct Answer: A
Rationale: Hypoglycemia is the priority due to excess insulin production in response to maternal hyperglycemia, which can cause seizures and brain damage if untreated.
Extract:
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Question 2 of 5
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Correct Answer: D
Rationale: Progesterone is essential for maintaining pregnancy by preventing uterine contractions and immune responses against the fetus, produced by the corpus luteum and later the placenta.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 3 of 5
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
Correct Answer: D
Rationale: Using the GTPAL system, the woman has been pregnant four times (Gravida = 4), had one term birth (Term = 1), two preterm births (Preterm = 2), no abortions (Abortions = 0), and four living children (Living = 4).
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline.
Question 4 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: A
Rationale: A frank breech position, where the fetus's buttocks present at the cervix with legs extended upward, would result in fetal heart tones located above the umbilicus at midline, as observed.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 5 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.