ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Pregnant woman educated about placental hormones
Question 1 of 5
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) is produced by the fertilized egg and detected in pregnancy tests, indicating fertilization and implantation.
Extract:
Primigravida client at term, having contractions, unsure if in labor
Question 2 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.
Extract:
Student nurse learning about milk production
Question 3 of 5
The student nurse learns that the hormone necessary for milk production is
Correct Answer: B
Rationale: Prolactin, secreted by the pituitary gland, is responsible for milk production, especially after delivery when estrogen and progesterone levels drop.
Extract:
Woman receiving oxytocin (Pitocin) infusion
Question 4 of 5
For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?
Correct Answer: D
Rationale: Contractions every 1.5 minutes lasting 95 seconds in transition indicate hyperstimulation, risking fetal distress, so the infusion should be stopped.
Extract:
Woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday, orders for perineal ice packs, sitz bath, stool softener
Question 5 of 5
A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders?
Correct Answer: C
Rationale: An episiotomy correlates with orders for ice packs, sitz baths, and stool softeners, as these address pain and healing of the perineal incision.