ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client pregnant for the fourth time, delivered two full-term newborns, had one spontaneous abortion at 10 weeks of gestation.
Question 1 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: C
Rationale: Gravida 4 reflects the client's total pregnancies, including the current one and her abortion, while Para 2 accounts for her two full-term live births, accurately documenting her obstetrical history.
Extract:
Parents of a newborn with an uncircumcised penis.
Question 2 of 5
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Daily washing with mild soap and water ensures proper hygiene and prevents infection. This method maintains cleanliness without causing harm to sensitive tissues.
Extract:
Question 3 of 5
A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include?
Correct Answer: A,C,E
Rationale: Nulliparity (
A) increases ovarian cancer risk by prolonging ovulation periods. Postmenopausal estrogen (
C) elevates risk by stimulating cell proliferation. History of breast cancer (E) correlates with increased risk due to shared genetic mutations like BRCA1/2.
Extract:
Client at 38 weeks of gestation experiencing continuous abdominal pain and vaginal bleeding, with a history of cocaine use.
Question 4 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae involves premature placental separation, linked to cocaine use, which increases vasoconstriction and hypertension. Symptoms include pain, vaginal bleeding, and fetal distress due to impaired placental function.
Extract:
Question 5 of 5
For each body system below, specify the potential manifestations that the client may experience. Match each body system with the potential manifestation.
Correct Answer: D
Rationale: General: Body aches (
D) - reflects systemic discomfort. Head, ears, eyes, nose, and throat: Headache (
C) - common neurological symptom. Gastrointestinal: Nausea (
A) - due to digestive disturbances. Breast: Pain (
B) - related to tissue sensitivity or engorgement.