ATI RN
ATI Maternal Newborn Midterm 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: D
Rationale: GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.
Extract:
A pregnant woman
Question 2 of 5
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal movement palpated by a professional is a positive sign, confirming a fetus. Braxton Hicks and pregnancy tests are probable, and quickening is presumptive, as other causes exist.
Extract:
A maternal condition requiring cesarean section
Question 3 of 5
What maternal condition always requires delivery by cesarean section?
Correct Answer: D
Rationale:
Total placenta previa blocks the cervix, necessitating cesarean delivery to prevent severe bleeding. Other conditions may allow vaginal delivery.
Extract:
A 15-year-old regarding genital tract infection prevention
Question 4 of 5
The nurse should include which information when teaching a 15-year old about genital tract infection prevention? Select all that apply
Correct Answer: A,B,E,F
Rationale: Wet suits, douching, high sugar, and tight clothing promote infections by fostering bacteria or irritation. Nylon traps moisture, and scented salts irritate, increasing risk.
Extract:
Treatment of chlamydia
Question 5 of 5
What is the CDC recommended medication for the treatment of chlamydia?
Correct Answer: C
Rationale: Doxycycline is CDC-recommended for chlamydia due to its efficacy against the bacteria. Other options treat different conditions.