ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, at 28 weeks 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: Ultrasound identifies placenta previa, a likely cause of painless bleeding, unlike other procedures meant for different purposes.
Extract:
A laboring woman.
Question 2 of 5
What is the cause of early decelerations in the fetal heart rate (FHR) of a laboring woman?
Correct Answer: A
Rationale: Early decelerations result from fetal head compression during contractions, unlike cord compression, insufficiency, or membrane rupture, which cause other patterns.
Extract:
None specified.
Question 3 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.
Extract:
A 32-year-old primigravida with ectopic pregnancy.
Question 4 of 5
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that:
Correct Answer: D
Rationale: Hemorrhage is the primary concern in ectopic pregnancy due to possible tubal rupture. Future conception is possible, D&C is for uterine contents, and bed rest alone is insufficient.
Extract:
A client whose last menstrual period started on February 13th.
Question 5 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.