ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A primigravida being monitored for preeclampsia.
Question 1 of 5
A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse?
Correct Answer: D
Rationale: 3+ proteinuria indicates severe preeclampsia, unlike normal BP, edema, or weight gain.
Extract:
A woman who wants to become pregnant has a 28-day menstrual cycle and the first day of her last menstrual period was January 8.
Question 2 of 5
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: B
Rationale: In a 28-day menstrual cycle, ovulation typically occurs around day 14, counted from the first day of the last menstrual period. For a cycle starting January 8, day 14 is January 22. The fertile window includes the five days before ovulation and the day after, making January 22-23 the peak fertile period, as sperm can survive up to 5 days, and the egg is viable for about 24 hours post-ovulation.
Extract:
A woman using over-the-counter cream for a suspected vaginal infection.
Question 3 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.
Extract:
None specified.
Question 4 of 5
The maternity nurse understands that vascular volume increases 40% to 45% during pregnancy to:
Correct Answer: C
Rationale: Increased vascular volume ensures placental perfusion, critical for fetal oxygen and nutrient delivery. Renal plasma flow increases, dehydration prevention is secondary, and waste elimination is not the primary purpose.
Extract:
An antepartum woman undergoing a contraction stress test (CST).
Question 5 of 5
What should a nurse know about the contraction stress test (CST) when providing care for the antepartum woman?
Correct Answer: B
Rationale: A negative CST, with no late decelerations, indicates fetal tolerance to contractions, unlike vibroacoustic use, invasiveness, or membrane rupture scenarios.