ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client 4 months pregnant at her initial prenatal visit.
Question 1 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: C
Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.
Extract:
Parents of a child diagnosed with fetal alcohol syndrome (FAS).
Question 2 of 5
Parents have been told their child has fetal alcohol syndrome (FAS). Which statement by a parent indicates that additional teaching is required?
Correct Answer: A
Rationale: Newborn rash is unrelated to FAS, unlike facial anomalies, withdrawal, or intellectual risks, indicating a need for further education.
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 3 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.
Extract:
A client during the first prenatal visit
Question 4 of 5
A nurse is providing dietary education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
Correct Answer: D
Rationale: Some fish high in mercury are unsafe in pregnancy, requiring clarification. Avoiding alcohol, 2 liters of fluid, and moderate caffeine are correct.
Extract:
A 28-year-old G3 now P3 mother 2 hours post normal spontaneous vaginal delivery with sudden shortness of breath, hypoxia, and cyanosis.
Question 5 of 5
Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
Correct Answer: C
Rationale: These symptoms suggest anaphylactoid syndrome (amniotic fluid embolism), a rare postpartum emergency, unlike conditions affecting the fetus or unrelated asthma.