ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Question 1 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.
Question 2 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.
Extract:
Client at 33 weeks of gestation with preeclampsia.
Question 3 of 5
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?
Correct Answer: A
Rationale: A BUN level of 30 mg/dL is above the normal range of 10 to 20 mg/dL. Elevated BUN is consistent with renal involvement in preeclampsia, which is caused by vascular constriction and reduced renal perfusion.
Extract:
Client reporting severe abdominal pain.
Question 4 of 5
A nurse in the labor and delivery triage unit reviews the electronic medical record (EMR) of a client reporting severe abdominal pain. Which of the following findings is most consistent with abruptio placenta?
Correct Answer: B
Rationale: Rigid uterine tone with dark vaginal bleeding is a hallmark of abruptio placenta. The rigidity arises from blood pooling behind the placenta, causing uterine muscle contraction. Dark vaginal bleeding occurs as the blood is often concealed and clotted before expulsion.
Extract:
Newborn born two hours ago at 36 weeks gestation, findings: Bruising noted over occiput, yellowish hue on sclera and skin blanching, transcutaneous bilirubin level 12.5 mg/dL, phototherapy initiated.
Question 5 of 5
A newborn born two hours ago at 36 weeks gestation has noted findings. Which findings are consistent with neonatal jaundice?
Correct Answer: B,C,D
Rationale: Yellowish sclera and blanching skin (
B), transcutaneous bilirubin level of 12.5 mg/dL (
C), and phototherapy initiation (
D) indicate neonatal jaundice from elevated bilirubin levels due to immature hepatic conjugation, requiring monitoring and treatment to prevent kernicterus.