ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in first trimester of pregnancy
Question 1 of 5
A nurse is providing education to a client in the first trimester of pregnancy. What information should the nurse include regarding the cause of indigestion and heartburn?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter, causing acid reflux, the primary cause of pregnancy heartburn, unlike pancreatic, estrogen, or uterine pressure effects.
Extract:
Client at risk for ovarian cancer
Question 2 of 5
Which of the following would increase a client's risk of ovarian cancer?
Correct Answer: B
Rationale: Endometriosis raises ovarian cancer risk via inflammation and hormonal changes, unlike protective multiparity, younger age, or contraceptives.
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 3 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 matches symptoms of pain and bleeding, exacerbated by cocaine's vascular effects, distinguishing it from previa, preterm labor, or molar pregnancy.
Extract:
Client at 32 weeks of gestation with stress incontinence
Question 4 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and is experiencing stress incontinence. Which of the following information should the nurse include in the teaching?
Correct Answer: B,D
Rationale: Kegel exercises strengthen pelvic muscles, and less caffeine reduces bladder irritation, improving stress incontinence; fiber, fluids, and exercise are unrelated.
Extract:
Newborn in car seat
Question 5 of 5
A nurse is teaching the parent of a newborn about car seat safety. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Rear-facing car seats until age 2 protect the head, neck, and spine; the retainer clip belongs at armpit level, and harness straps at or below shoulders.