ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A client comes to the clinic to confirm that she is pregnant. Her last menstrual period was January 31st. According to Naegele's rule, when should the client expect to deliver?
Correct Answer: C
Rationale: The correct answer is C: November 7. Naegele's rule estimates the due date by adding 7 days to the first day of the last menstrual period (LMP), subtracting 3 months, and adding 1 year. LMP is January 31, so adding 7 days gives February 7. Subtracting 3 months gives November 7. Other choices are incorrect as there is no November 31, December 7 is too far ahead, and December 24 is also too far from the estimated due date.
Question 2 of 5
Which procedure should be avoided for the client known to have a placenta previa?
Correct Answer: C
Rationale: The correct answer is C: A sterile vaginal exam. Placenta previa involves the placenta partially or fully covering the cervix, making a vaginal exam risky due to potential disruption of the placenta and causing severe bleeding. This procedure should be avoided to prevent harm to the client and the baby. A: A non-stress test, D: An abdominal ultrasound, and B: A urinary catheterization are safe procedures that do not pose a risk to the client with placenta previa.
Question 3 of 5
A woman in the first trimester comes to the clinic with vaginal bleeding. The physician determines that the fetus has died and that the placenta, fetus, and tissues still remain in the uterus. How should the findings be documented?
Correct Answer: C
Rationale: The correct answer is C: Missed abortion. In a missed abortion, the fetus has died but has not been expelled from the uterus yet. The findings should be documented as a missed abortion because the fetus has not been passed naturally. This is different from a complete abortion (
A) where all products of conception have been expelled, a stillborn abortion (
B) which is not a recognized medical term, and an incomplete abortion (
D) where some products of conception remain in the uterus.
Therefore, based on the scenario described, the most appropriate term to document the findings is missed abortion.
Question 4 of 5
A woman in the transition stage of labor is using paced breathing to relieve pain. She complains of blurred vision, numbness, and tingling of her hands and mouth. Which condition is indicated by these signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Hyperventilation. The symptoms of blurred vision, numbness, and tingling in the hands and mouth are indicative of hyperventilation. During paced breathing, if the woman breathes too quickly or deeply, it can lead to a decrease in carbon dioxide levels in the blood, causing these symptoms.
To address this, the woman should be guided to slow down her breathing and breathe into a paper bag to rebreathe some carbon dioxide. Anoxia (
A) is a severe lack of oxygen, which would present with different symptoms. Anxiety (
C) may cause similar symptoms but is not the primary issue here. Hypertension (
D) does not typically lead to these specific symptoms.
Question 5 of 5
Which data support a diagnosis of abruptio placenta in a pregnant woman?
Correct Answer: A
Rationale: The correct answer is A: Uterine rigidity and abdominal pain. Abruptio placenta is characterized by premature separation of the placenta from the uterine wall. Uterine rigidity indicates the presence of a hypertonic uterus due to the sudden hemorrhage, leading to severe abdominal pain. This is a classic presentation of abruptio placenta.
Choices B, C, and D do not align with the typical clinical features of abruptio placenta. Painless bleeding with a soft abdomen does not suggest an acute and painful condition like abruptio placenta. Premature rupture of membranes and uterine contractions are more indicative of preterm labor or premature rupture of membranes, not abruptio placenta. Bright red blood loss and elevated blood pressure are more characteristic of placenta previa or preeclampsia, respectively, not abruptio placenta.