ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A woman diagnosed with acute pelvic inflammatory disease (PID)
Question 1 of 5
Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:
Correct Answer: D
Rationale: PID is a bacterial infection requiring antibiotics for a full course, not just until symptoms subside. Antivirals are ineffective, and frequent pelvic exams may worsen inflammation. Bed rest in a semi-Fowler position aids drainage and reduces pain, supporting recovery.
Extract:
A woman who has had a mastectomy
Question 2 of 5
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
Correct Answer: B
Rationale: Post-mastectomy, the affected arm is at risk for lymphedema due to lymph node removal. Using it for BP cuffs, venipuncture, or IV therapy can increase swelling or infection risk. The arm should be elevated and exercised gently, not immobilized.
Extract:
A husband and wife undergoing in vitro fertilization-embryo transfer (IVF-ET)
Question 3 of 5
In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. The nurse's most appropriate response is:
Correct Answer: C
Rationale: IVF-ET uses the couple's own eggs and sperm, fertilized in a lab, and the embryo is transferred to the uterus. Donor embryos or sperm are not standard in this procedure unless specified. Dismissing the question is unprofessional and unhelpful.
Extract:
A woman at 10 weeks of gestation with presumptive signs and symptoms of pregnancy
Question 4 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: C
Rationale: At 10 weeks, a positive pregnancy test is a presumptive sign due to detectable hCG levels. Chadwick's and Hegar's signs are probable signs observed by examiners, not felt by the woman. Amenorrhea is presumptive but less specific, as other causes exist.
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.