ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A woman using over-the-counter cream for a suspected vaginal infection
Question 1 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 alter Pap test results by affecting vaginal pH or cell visibility. Informing the woman ensures informed decision-making about proceeding.
Extract:
A woman hospitalized for hyperemesis gravidarum
Question 2 of 5
The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment will involve:
Correct Answer: B
Rationale: IV therapy restores fluid and electrolyte balance, critical in severe vomiting. Antiemetics, enteral nutrition, or steroids are secondary or inappropriate.
Extract:
Glucose metabolism during pregnancy
Question 3 of 5
Why is glucose metabolism profoundly affected during pregnancy?
Correct Answer: B
Rationale: Placental hormones like human placental lactogen cause insulin resistance to prioritize fetal glucose supply, altering metabolism.
Extract:
Maternal serum analysis
Question 4 of 5
Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
Correct Answer: D
Rationale: Multiple-marker screening tests maternal serum for markers like AFP and hCG to estimate risks of Down syndrome and other chromosomal issues. Other tests assess different aspects.
Extract:
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 (no late decelerations) is reassuring. Vibroacoustic stimulation is for NST, CST is non-invasive, and it's contraindicated with ruptured membranes.