ATI RN
ATI Maternal Newborn Exam Nursing 223g Questions
Extract:
Client in her first trimester of pregnancy
Question 1 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client expresses that she is upset because, despite planning this pregnancy with her husband, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: It's common for women to experience a range of emotions, including ambivalence, during early pregnancy due to hormonal changes and lifestyle adjustments. This response normalizes the client's feelings and provides support.
Extract:
Woman requesting birth control pills
Question 2 of 5
A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?
Correct Answer: B
Rationale: A family history of thromboembolism increases the risk of blood clots with hormonal contraceptives, making ovulation suppressants like birth control pills less suitable.
Extract:
Client at 38 weeks of gestation with painless, bright red vaginal bleeding, BP 98/52 mm Hg, HR 118/min, RR 24/min, Temp 36.4°C
Question 3 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to administer fluids and medications, addressing hypovolemia and stabilizing the client with significant bleeding, likely due to placenta previa.
Extract:
Client at 36 weeks of gestation with suspected placenta previa
Question 4 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has a suspected placenta previa. Which of the following symptoms support this diagnosis?
Correct Answer: A
Rationale: Painless red vaginal bleeding is a hallmark symptom of placenta previa, where the placenta covers the cervix.
Extract:
Patient who is 6 weeks pregnant and smokes one pack of cigarettes per day
Question 5 of 5
A nurse is completing a health history for a patient who is 6 weeks pregnant. The patient informs the nurse that she smokes one pack of cigarettes per day. The nurse should inform the patient that smoking puts her newborn at risk for which of the following complications?
Correct Answer: A
Rationale: Smoking during pregnancy restricts fetal blood flow, leading to intrauterine growth restriction and low birth weight.