ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A woman who complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years, pain during intercourse, and has tried unsuccessfully to get pregnant for the past 18 months.
Question 1 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 pelvic pain, dysmenorrhea, dyspareunia, and infertility, matching the symptoms described. Primary dysmenorrhea and PMS don't typically cause infertility or pain during intercourse, and secondary dysmenorrhea is less specific.
Extract:
A woman at 10 weeks of gestation with presumptive signs and symptoms of pregnancy.
Question 2 of 5
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have?
Correct Answer: D
Rationale: Amenorrhea, the absence of menstruation, is a presumptive sign by 10 weeks, likely with two missed periods. Chadwick's and Hegar's signs are probable, not presumptive, and a positive test is probable, not felt by the woman.
Extract:
A woman with placenta previa.
Question 3 of 5
A placenta previa in which the placental edge just reaches the internal os is more commonly known as:
Correct Answer: B
Rationale: Marginal placenta previa has the placental edge at the internal os, unlike total (complete coverage) or partial (partial coverage).
Extract:
A 32-year-old primigravida with ectopic pregnancy.
Question 4 of 5
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that:
Correct Answer: D
Rationale: Hemorrhage is the primary concern in ectopic pregnancy due to possible tubal rupture. Future conception is possible, D&C is for uterine contents, and bed rest alone is insufficient.
Extract:
None specified.
Question 5 of 5
The drug of choice for treatment of gonorrhea is:
Correct Answer: A
Rationale: Ceftriaxone is effective against resistant gonorrhea strains, unlike penicillin, acyclovir (antiviral), or tetracycline.