ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A woman with placenta previa.
Question 1 of 5
A placenta previa in which the placental edge just reaches the internal os is more commonly known as:
Correct Answer: B
Rationale: Marginal placenta previa has the placental edge at the internal os, unlike total (complete coverage) or partial (partial coverage).
Extract:
None specified.
Question 2 of 5
As related to the care of the patient with miscarriage, nurses should be aware that:
Correct Answer: A
Rationale: Miscarriage is spontaneous loss before 20 weeks, often due to chromosomal issues, not behavior. It's common (10-20%) and varies in symptoms.
Extract:
A pregnant woman with gestational diabetes mellitus at 24 weeks.
Question 3 of 5
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: C
Rationale: GDM increases fetal macrosomia risk due to excess glucose, causing delivery complications. Low birth weight and CNS anomalies are less common.
Extract:
A laboring woman.
Question 4 of 5
How is fetal well-being during labor assessed?
Correct Answer: C
Rationale: FHR response to uterine contractions reveals oxygenation status, more telling than baseline rate, pain control, or accelerations alone.
Extract:
A woman using over-the-counter cream for a suspected vaginal infection.
Question 5 of 5
A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and has been using an over-the-counter cream for the past 2 days to treat it. The nurse's initial response should be to:
Correct Answer: D
Rationale: Vaginal creams can skew Pap test results, so informing her is critical before proceeding or rescheduling.