ATI RN
ATI Maternal Newborn Midterm 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: Proteinuria (3+ on dipstick) indicates renal impairment, a hallmark of preeclampsia. BP below 140/90, edema, and modest weight gain are less concerning.
Extract:
A woman with severe abdominal and pelvic pain around menstruation, pain during intercourse, and 18 months of infertility
Question 2 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:
An infertile woman receiving urofollitropin
Question 3 of 5
How is purified follicle-stimulating hormone (FSH) (urofollitropin [Metrodin]) administered to an infertile woman as part of the pharmacologic treatment?
Correct Answer: B
Rationale: Urofollitropin is injected intramuscularly to bypass digestion, stimulating ovarian follicles effectively.
Extract:
A pregnant woman with gestational diabetes mellitus at 24 weeks
Question 4 of 5
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: C
Rationale: GDM increases fetal glucose levels, leading to macrosomia (large birth weight), which risks birth trauma. Low birth weight, preterm birth, and anomalies are less directly linked.
Extract:
Pregnant woman
Question 5 of 5
The maternity nurse understands that vascular volume increases 40% to 45% during pregnancy to:
Correct Answer: C
Rationale: Vascular volume increases to supply the placenta, ensuring fetal oxygenation and nutrition. Renal plasma flow increases, dehydration prevention relies on fluid intake, and waste elimination is handled by other systems.