ATI RN
ATI Maternal Newborn Exam Nursing 223g Questions
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 1 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 in her first trimester of pregnancy
Question 2 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:
Client in the first trimester with no immunity to rubella
Question 3 of 5
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: Rubella immunization is recommended immediately post-delivery for non-immune women to prevent future congenital rubella syndrome, as it's unsafe during pregnancy.
Extract:
17-year-old female client requesting oral contraceptives
Question 4 of 5
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking what part of the exam makes her nervous acknowledges the client's anxiety and opens a dialogue to address specific concerns, promoting trust and comfort.
Extract:
Client during the first prenatal visit
Question 5 of 5
A nurse is providing 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: A
Rationale: The recommended calcium intake during pregnancy is 1,300 mg/day, so 1,500 mg/day requires clarification.