ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions.
Question 1 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: B
Rationale: GTPAL stands for Gravida (pregnancies), Term (full-term births), Preterm (preterm births), Abortions, and Living children. The woman has had 3 pregnancies (twins count as one pregnancy), 1 full-term birth, 1 preterm birth (twins), 0 abortions, and 3 living children, correctly documented as 3-1-1-0-3.
Extract:
A woman older than 35 years.
Question 2 of 5
What is the main reason why a woman who is older than 35 years may have difficulty achieving pregnancy?
Correct Answer: B
Rationale: Aging reduces ovarian reserve and egg quality, impacting fertility most significantly, unlike contraceptives, medical attention, or behaviors.
Extract:
A husband and wife undergoing in vitro fertilization-embryo transfer (IVF-ET).
Question 3 of 5
In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. The nurse's most appropriate response is:
Correct Answer: C
Rationale: IVF-ET uses the couple's own eggs and sperm, fertilized in a lab, and the embryo is transferred to the uterus, accurately described in option C. Donor embryos or sperm are not standard, and dismissing questions is unprofessional.
Extract:
None specified.
Question 4 of 5
What is the result of a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period?
Correct Answer: B
Rationale: Two or more accelerations define a reactive NST, indicating fetal health, unlike nonreactive, positive, or negative, which apply to other tests.
Extract:
A woman who has had a mastectomy.
Question 5 of 5
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
Correct Answer: B
Rationale: Avoiding BP cuffs on the affected arm prevents lymphedema risk due to impaired lymphatic drainage post-mastectomy. Venipuncture and IVs are also avoided, and the arm should be elevated, not immobilized.