ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A pregnant woman
Question 1 of 5
Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)
Correct Answer: B,C,E
Rationale: Rupture of membranes, heartburn with headache (possible preeclampsia), and vaginal bleeding signal complications requiring urgent attention. Urinary frequency and decreased libido are common and not urgent.
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:
Inadequate weight gain during pregnancy
Question 3 of 5
What are the possible consequences of inadequate weight gain during pregnancy for the infant?
Correct Answer: D
Rationale: Inadequate weight gain risks IUGR, leading to low birth weight and complications. Diabetes, Down syndrome, and spina bifida have different causes.
Extract:
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions
Question 4 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: D
Rationale: GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.
Extract:
A woman at risk for gestational diabetes mellitus
Question 5 of 5
Which factor is known to increase the risk of gestational diabetes mellitus?
Correct Answer: A
Rationale: Previous large infant suggests prior glucose issues, increasing GDM risk. Underweight, type 2 diabetes (not GDM), and young age are not risk factors.