ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, 28 weeks pregnant with bright red, painless vaginal bleeding
Question 1 of 5
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, what would be an expected diagnostic procedure?
Correct Answer: D
Rationale: Painless bleeding suggests placenta previa, and ultrasound confirms placental position. Amniocentesis, CST, and internal monitoring are inappropriate at this stage.
Extract:
A 21-year-old Hispanic patient with limited English proficiency
Question 2 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 maternal condition requiring cesarean section
Question 3 of 5
What maternal condition always requires delivery by cesarean section?
Correct Answer: D
Rationale:
Total placenta previa blocks the cervix, necessitating cesarean delivery to prevent severe bleeding. Other conditions may allow vaginal delivery.
Extract:
A primigravida being monitored for preeclampsia
Question 4 of 5
A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse?
Correct Answer: D
Rationale: Proteinuria (3+ on dipstick) indicates renal impairment, a hallmark of preeclampsia. BP below 140/90, edema, and modest weight gain are less concerning.
Extract:
Treatment of chlamydia
Question 5 of 5
What is the CDC recommended medication for the treatment of chlamydia?
Correct Answer: C
Rationale: Doxycycline is CDC-recommended for chlamydia due to its efficacy against the bacteria. Other options treat different conditions.