ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A patient with pregnancy-induced hypertension complaining of pounding headache, visual changes, and epigastric pain.
Question 1 of 5
A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication of:
Correct Answer: C
Rationale: These symptoms indicate severe preeclampsia, risking eclampsia, not anxiety, drug effects, or simple GI upset.
Extract:
A woman who wants to become pregnant has a 28-day menstrual cycle and the first day of her last menstrual period was January 8.
Question 2 of 5
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: B
Rationale: In a 28-day menstrual cycle, ovulation typically occurs around day 14, counted from the first day of the last menstrual period. For a cycle starting January 8, day 14 is January 22. The fertile window includes the five days before ovulation and the day after, making January 22-23 the peak fertile period, as sperm can survive up to 5 days, and the egg is viable for about 24 hours post-ovulation.
Extract:
A woman who complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years, pain during intercourse, and has tried unsuccessfully to get pregnant for the past 18 months.
Question 3 of 5
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
Correct Answer: B
Rationale: Endometriosis involves endometrial tissue outside the uterus, causing chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility, matching the symptoms described. Primary dysmenorrhea and PMS don't typically cause infertility or pain during intercourse, and secondary dysmenorrhea is less specific.
Extract:
A pregnant woman with abruptio placentae.
Question 4 of 5
The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:
Correct Answer: D
Rationale: Intense abdominal pain is characteristic of abruptio placentae due to blood irritating uterine nerves, unlike placenta previa's painless bleeding. Cramping and uterine activity are less specific.
Extract:
A pregnant woman.
Question 5 of 5
Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)
Correct Answer: B,C,E
Rationale: Rupture of membranes risks infection, heartburn with headache suggests preeclampsia, and vaginal bleeding may indicate serious issues like placenta previa. Urinary frequency and decreased libido are normal.