ATI RN
ATI Maternal Newborn Midterm Exam 1 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 macrosomia risk due to excess glucose, causing delivery complications. Low birth weight and CNS anomalies are less common.
Extract:
Infant of a diabetic mother.
Question 2 of 5
Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
Correct Answer: D
Rationale: Hypoglycemia is common in infants of diabetic mothers due to high fetal insulin levels post-delivery, requiring close monitoring.
Extract:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, at 28 weeks with bright red, painless vaginal bleeding.
Question 3 of 5
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, what would be an expected diagnostic procedure?
Correct Answer: D
Rationale: Ultrasound identifies placenta previa, a likely cause of painless bleeding, unlike other procedures meant for different purposes.
Extract:
A woman in week 34 of pregnancy with heartburn.
Question 4 of 5
A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman:
Correct Answer: A
Rationale: Small, frequent meals reduce stomach pressure, alleviating heartburn. Lying down worsens reflux, fiber aids digestion, and milk isn't a primary trigger.
Extract:
A patient with pregnancy-induced hypertension complaining of pounding headache, visual changes, and epigastric pain.
Question 5 of 5
A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication of:
Correct Answer: C
Rationale: These symptoms indicate severe preeclampsia, risking eclampsia, not anxiety, drug effects, or simple GI upset.