ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client at 9 weeks pregnant, had a miscarriage at 7 weeks, an ectopic pregnancy at 6 weeks treated with methotrexate, five-year-old son born vaginally at 39 weeks, three-year-old daughter born vaginally at 35 weeks.
Question 1 of 5
The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Correct Answer: C
Rationale: GTPAL is calculated as G5 (current pregnancy, miscarriage, ectopic, two births), T1 (39-week birth), P1 (35-week birth), A2 (miscarriage, ectopic), L2 (two living children), matching C.
Extract:
Client 2 hr postpartum, received spinal anesthesia for cesarean birth.
Question 2 of 5
A nurse is assessing a client who is 2 hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: A respiratory rate of 10/min suggests possible respiratory depression from spinal anesthesia, requiring immediate intervention.
Extract:
Information about Group B Streptococcus (GBS) in pregnancy.
Question 3 of 5
Which of the following statements about Group B Streptococcus (GBS) in pregnancy is true?
Correct Answer: D
Rationale: Intravenous antibiotics during labor for GBS-positive mothers significantly reduce the risk of neonatal GBS infection.
Extract:
Client at 6 weeks gestation requesting to hear fetal heartbeat.
Question 4 of 5
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?
Correct Answer: B
Rationale: The fetal heartbeat is detectable by external Doppler around 10-12 weeks, when it is strong enough for detection.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation.
Question 5 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.