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 21-year-old Hispanic patient with limited English proficiency
Question 2 of 5
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
Correct Answer: C
Rationale: Effective communication is critical, especially with language barriers. Assessing understanding ensures the patient comprehends health information, reducing risks of misinformation. Handouts may not be in the patient's language, speaking quickly can hinder comprehension, and jargon can confuse rather than educate.
Extract:
A woman with severe abdominal and pelvic pain around menstruation, pain during intercourse, and 18 months of infertility
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 pain during menstruation and intercourse, and often infertility due to scarring and adhesions. Primary dysmenorrhea is not associated with infertility, secondary dysmenorrhea may not involve all symptoms, and PMS does not typically cause severe pain or infertility.
Extract:
A woman diagnosed with acute pelvic inflammatory disease (PID)
Question 4 of 5
Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:
Correct Answer: D
Rationale: PID is a bacterial infection requiring antibiotics for a full course, not just until symptoms subside. Antivirals are ineffective, and frequent pelvic exams may worsen inflammation. Bed rest in a semi-Fowler position aids drainage and reduces pain, supporting recovery.
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: Post-mastectomy, the affected arm is at risk for lymphedema due to lymph node removal. Using it for BP cuffs, venipuncture, or IV therapy can increase swelling or infection risk. The arm should be elevated and exercised gently, not immobilized.