ATI RN
ATI Maternal Newborn Exam Nursing 223g Questions
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 1 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 28 weeks pregnant with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 2 of 5
A nurse in a prenatal clinic is reviewing a client's health record. The client is 28 weeks pregnant. The history includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks. According to the GTPAL system, how would the nurse describe the client's current status?
Correct Answer: C
Rationale: GTPAL: 4 pregnancies (G), 2 term births (T, twins), 0 preterm (P), 2 abortions (
A), 2 living children (L), accurately reflecting the client's history.
Extract:
Client suspected of having a hydatidiform mole
Question 3 of 5
A nurse in a prenatal clinic is caring for a client suspected of having a hydatidiform mole. What findings should the nurse expect to observe in this client?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to rapid growth of abnormal placental tissue.
Extract:
Woman planning to conceive soon
Question 4 of 5
During an annual gynecological check-up, a woman informs the nurse that she and her partner are planning to conceive soon. What recommendations should the nurse make for a healthy pregnancy? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Abstaining from alcohol, maintaining a nutritious diet, ceasing smoking, and exercising promote a healthy pregnancy by reducing fetal risks and supporting maternal health.
Extract:
Patient at her first prenatal visit
Question 5 of 5
A nurse is providing nutritional education to a patient at her first prenatal visit. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Prenatal vitamins provide increased vitamin D, essential for calcium absorption and fetal bone development during pregnancy.