ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant client in her first trimester
Question 1 of 5
A nurse is teaching a pregnant client in her first trimester about discomforts that she may experience. The nurse determines that the teaching was successful when the woman identifies which discomforts as common during the first trimester? Select all that apply.
Correct Answer: A,B,D
Rationale: First trimester discomforts include breast tenderness (hormonal growth), urinary frequency (bladder pressure), and cravings (taste changes). Backache and leg cramps typically occur later due to weight and nerve pressure.
Extract:
A pregnant woman with a pigmented line down the middle of her abdomen
Question 2 of 5
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
Correct Answer: B
Rationale: Linea nigra is a dark line from umbilicus to pubis caused by increased melanin from hormonal changes. Striae gravidarum are stretch marks, vascular spiders are dilated vessels on face or chest, and melasma is facial pigmentation, none matching the abdominal line description.
Extract:
A pregnant woman compulsively craving ice
Question 3 of 5
Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as
Correct Answer: B
Rationale: Pica is the craving for non-food items like ice, often linked to nutrient deficiencies such as iron. Linea nigra is a skin line, ballottement is a fetal palpation technique, and quickening is feeling fetal movement, none related to cravings.
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 4 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization effectively. Other schedules miss critical windows for blocking maternal antibody response.
Extract:
A woman with severe preeclampsia receiving hydralazine
Question 5 of 5
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would lead the nurse to suspect that the client is having an adverse effect associated with this drug?
Correct Answer: C
Rationale: Hydralazine, a vasodilator, can cause reflex tachycardia as blood pressure drops, increasing cardiac strain. Gastrointestinal bleeding, sweating, and blurred vision (a preeclampsia symptom) are not typical adverse effects.