ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant woman in the 36th week with swollen feet
Question 1 of 5
A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?
Correct Answer: B
Rationale: Elevating legs reduces swelling by aiding venous return, a safe intervention for late-pregnancy edema. Tight pants worsen swelling, limiting fluids risks dehydration, and eliminating salt disrupts electrolytes.
Extract:
A pregnant woman and her partner receiving perinatal education
Question 2 of 5
When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?
Correct Answer: C
Rationale: Perinatal education aims to prepare couples for a positive birth by providing knowledge for informed decisions and coping strategies, enhancing satisfaction and well-being. Eliminating anxiety is unrealistic, control is partial, and labor skills are only one aspect.
Extract:
A client with last menstrual period on April 11
Question 3 of 5
A client's last menstrual period was April 11. Using Naegele's rule, her estimated date of birth (EDB) would be:
Correct Answer: B
Rationale: Nägele's rule: April 11, 2023 + 1 year = April 11, 2024; minus 3 months = January 11, 2024; plus 7 days = January 18, 2024. Other options incorrectly adjust months or days.
Extract:
A client who is 4 months pregnant with twins born at 34 weeks, a son at 39 weeks, and a spontaneous abortion at 6 weeks
Question 4 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year-old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: B
Rationale: GTPAL: Gravida (4 pregnancies: twins, son, abortion, current), Term (1 at 39 weeks), Preterm (1 at 34 weeks), Abortions (1 at 6 weeks), Living (3 children). Thus, 4-1-1-1-3 is correct. Other options miscalculate pregnancies, preterm births, or living children.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 5 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating
Correct Answer: A
Rationale: Hemodilution of pregnancy occurs as plasma volume increases more than red blood cell mass, lowering hemoglobin to 10.5-14 g/dL in the second trimester, which includes 11 g/dL. Multiple gestation may raise hemoglobin, weight gain doesn't affect it, and iron-deficiency anemia typically shows lower hemoglobin with symptoms like fatigue.