ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A woman who wants to become pregnant with a 28-day menstrual cycle, first day of her menstrual period was January 8
Question 1 of 5
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: D
Rationale: Ovulation typically occurs around day 14 of a 28-day cycle, counting from the first day of the menstrual period. The fertile period includes about 5 days before and 1 day after ovulation due to sperm survival time. For a cycle starting January 8, day 14 is January 21, so the fertile window is approximately January 16-22. January 14-15 falls within this window, accounting for early ovulation variability.
Extract:
A maternal condition requiring cesarean section
Question 2 of 5
What maternal condition always requires delivery by cesarean section?
Correct Answer: D
Rationale:
Total placenta previa blocks the cervix, necessitating cesarean delivery to prevent severe bleeding. Other conditions may allow vaginal delivery.
Extract:
Mammary gland tissue maturation
Question 3 of 5
The hormone responsible for maturation of mammary gland tissue is:
Correct Answer: A
Rationale: Progesterone promotes alveolar and lobular development in mammary glands during pregnancy, preparing for lactation. Other hormones have different roles.
Extract:
A woman who has had a mastectomy
Question 4 of 5
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
Correct Answer: B
Rationale: Post-mastectomy, the affected arm is at risk for lymphedema due to lymph node removal. Using it for BP cuffs, venipuncture, or IV therapy can increase swelling or infection risk. The arm should be elevated and exercised gently, not immobilized.
Extract:
A pregnant woman
Question 5 of 5
A pregnant woman's diet may not meet her need for folates. A good source of this nutrient is:
Correct Answer: D
Rationale: Green leafy vegetables are rich in folate, crucial for preventing neural tube defects. Cheese, potatoes, and chicken have minimal folate content.