ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A pregnant woman with gestational diabetes mellitus at 24 weeks
Question 1 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:
A pregnant woman at 32 weeks complaining of dizziness, light-headedness, pale and moist skin
Question 2 of 5
What should the nurse do first if a pregnant woman at 32 weeks of gestation complains of feeling dizzy and light-headed while her fundal height is being measured and her skin is pale and moist?
Correct Answer: C
Rationale: Turning to the side relieves supine hypotensive syndrome, improving blood flow. Other actions may worsen symptoms or delay intervention.
Extract:
A woman diagnosed with acute pelvic inflammatory disease (PID)
Question 3 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:
Pregnant women
Question 4 of 5
Which pregnant woman should restrict her weight gain during pregnancy?
Correct Answer: C
Rationale: Overweight women should limit weight gain to reduce risks like gestational diabetes or hypertension. Short women, adolescents, and twin pregnancies require higher weight gain.
Extract:
A pregnant woman in her third trimester feeling faint, dizzy, and agitated
Question 5 of 5
What is the best nursing intervention for a pregnant woman in her third trimester who complains of feeling faint, dizzy, and agitated while her vital signs are being assessed?
Correct Answer: D
Rationale: Left-side positioning relieves vena cava compression, improving symptoms of supine hypotension. Other actions risk worsening the condition.