ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A client at 38 weeks' gestation is admitted for decreased fetal movement. What diagnostic test should the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Biophysical profile (BPP). At 38 weeks' gestation with decreased fetal movement, BPP is used to assess fetal well-being by evaluating fetal heart rate, fetal movements, fetal tone, amniotic fluid volume, and sometimes placental function. It provides immediate information on fetal status and is non-invasive. Amniocentesis (A) is not indicated for decreased fetal movement. Contraction stress test (C) is contraindicated due to the risk of inducing contractions in a term pregnancy. Maternal serum alpha-fetoprotein (D) is a screening test for neural tube defects and is not relevant in this situation.
Question 2 of 5
A client at 37 weeks' gestation reports swollen feet and hands. What assessment finding requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure of 150/95 mmHg. This finding indicates gestational hypertension, which can progress to preeclampsia, a serious condition that requires immediate intervention to prevent complications for both the mother and baby. High blood pressure can lead to organ damage and placental insufficiency. B: Weight gain of 1 pound in a week is within the normal range for late pregnancy and may not require immediate intervention. C: Mild nausea after eating is a common pregnancy symptom and does not indicate an urgent issue. D: Regular fetal movements are a positive sign of fetal well-being and do not require immediate intervention.
Question 3 of 5
The nurse is preparing a client for a biophysical profile (BPP). What does this test evaluate?
Correct Answer: C
Rationale: The correct answer is C: Fetal well-being, including movements and amniotic fluid. A Biophysical Profile evaluates the fetus' health by assessing factors like fetal movements, muscle tone, breathing movements, amniotic fluid volume, and fetal heart rate patterns. This test provides valuable information about the fetus' well-being and helps in determining the need for interventions or further monitoring. Explanation of why the other choices are incorrect: A: Maternal blood flow to the placenta is not evaluated by a Biophysical Profile. B: Fetal genetic abnormalities are not assessed through a BPP; it focuses on the fetus' current well-being. D: Cervical dilation and effacement are related to labor progress and not part of a BPP, which focuses on fetal well-being.
Question 4 of 5
A client at 37 weeks' gestation reports severe itching without a rash. What condition should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Cholestasis of pregnancy. Severe itching without a rash in a pregnant client at 37 weeks' gestation is concerning for cholestasis of pregnancy, a condition characterized by impaired bile flow. This can lead to elevated bile acids, causing itching. Preeclampsia (choice A) presents with hypertension and proteinuria. Gestational diabetes (choice C) manifests with high blood sugar levels. Fungal infection (choice D) typically presents with visible skin changes like a rash, which is absent in this case. In summary, cholestasis of pregnancy is the most likely explanation for severe itching in this scenario.
Question 5 of 5
The nurse is educating a client about gestational diabetes. What is the most important teaching point?
Correct Answer: C
Rationale: The correct answer is C: Monitor blood sugar regularly as prescribed. This is crucial in managing gestational diabetes to ensure blood sugar levels are within target range, preventing complications for both mother and baby. Regular monitoring helps track the effectiveness of treatment and dietary adjustments. Avoiding all carbohydrates (A) is not recommended as some are necessary for energy. Checking blood sugar only when symptomatic (B) is insufficient as it may miss important fluctuations. Increasing physical activity significantly (D) is beneficial but not the most important teaching point compared to consistent blood sugar monitoring.