ATI RN
ATI Maternal Newborn III Questions
Extract:
A church-based group learning about HIV transmission
Question 1 of 5
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
Correct Answer: C
Rationale: HIV is primarily transmitted through sexual contact involving infected fluids like semen or vaginal secretions. Mosquitoes, respiratory droplets, and puncture wounds (rare) don't commonly spread HIV.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 2 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating:
Correct Answer: D
Rationale: A hemoglobin of 11 g/dL is low for the second trimester (10.5-14 g/dL), suggesting iron-deficiency anemia, especially with symptoms like fatigue. Hemoconcentration raises hemoglobin, multiple gestation lowers it slightly, and weight gain is unrelated.
Extract:
A woman in her first trimester
Question 3 of 5
When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?
Correct Answer: B
Rationale: Emotional lability is typical in the first trimester from hormonal changes causing irritability or crying. Ambivalence is less common unless conflicted, introversion isn't pregnancy-specific, and acceptance grows over time.
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 4 of 5
Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
Correct Answer: A
Rationale: Recurrent pelvic infections (e.g., PI
D) scar fallopian tubes, increasing ectopic pregnancy risk by hindering egg transport. Ovarian cysts, oral contraceptives (which reduce risk), and irregular periods don't directly contribute.
Extract:
A client who has had a spontaneous abortion and is crying
Question 5 of 5
Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Saying 'I'm sorry you lost your baby' acknowledges the client's emotional loss empathetically. Asking why she's crying invalidates her feelings, focusing on physical pain ignores emotional needs, and claiming the baby wasn't formed is inaccurate and insensitive, as miscarriage involves loss at any stage.