ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A pregnant woman with abruptio placentae
Question 1 of 5
The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:
Correct Answer: D
Rationale: Intense abdominal pain is characteristic of abruptio placentae due to blood irritating uterine nerves. Placenta previa typically causes painless bleeding, and cramping or uterine activity is less specific.
Extract:
Glucose metabolism during pregnancy
Question 2 of 5
Why is glucose metabolism profoundly affected during pregnancy?
Correct Answer: B
Rationale: Placental hormones like human placental lactogen cause insulin resistance to prioritize fetal glucose supply, altering metabolism.
Extract:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, 28 weeks pregnant 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: Painless bleeding suggests placenta previa, and ultrasound confirms placental position. Amniocentesis, CST, and internal monitoring are inappropriate at this stage.
Extract:
A pregnant woman at 10 weeks who jogs 3-4 times per week
Question 4 of 5
What should the nurse tell a pregnant woman at 10 weeks of gestation who jogs 3 or 4 times per week and is concerned about the effect of exercise on the fetus?
Correct Answer: A
Rationale: Jogging is safe early but may need adjustment later due to physical changes. Stopping or switching prematurely is unnecessary, and no modification ignores risks.
Extract:
A client with endometriosis
Question 5 of 5
A nurse counseling a client with endometriosis understands which statements regarding the management of endometriosis are accurate? (Select all that apply)
Correct Answer: A,B,E
Rationale: Asymptomatic women may not need treatment, surgery addresses severe symptoms, and NSAIDs help mild pain while preserving fertility. Danazol causes masculinizing effects, but bone loss is reversible.