ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
A woman who wants to become pregnant has a 28-day menstrual cycle and the first day of her last 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 last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: B
Rationale: In a 28-day menstrual cycle, ovulation typically occurs around day 14, counted from the first day of the last menstrual period. For a cycle starting January 8, day 14 is January 22. The fertile window includes the five days before ovulation and the day after, making January 22-23 the peak fertile period, as sperm can survive up to 5 days, and the egg is viable for about 24 hours post-ovulation.
Extract:
A pregnant woman with a maternal condition.
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, unlike partial abruptio, ectopic pregnancy, or eclampsia, which may allow vaginal delivery.
Extract:
None specified.
Question 3 of 5
Compared with contraction stress test (CST), nonstress test (NST) for antepartum fetal assessment:
Correct Answer: A
Rationale: NST is noninvasive with no contraindications, unlike CST, which risks preterm labor. NST is less expensive, has more false positives, and is less sensitive.
Extract:
A pregnant woman at 10 weeks of gestation who jogs 3 or 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 to walking later for comfort, not joint harm or fetal risk, and modification is often needed.
Extract:
A woman using over-the-counter cream for a suspected vaginal infection.
Question 5 of 5
A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and has been using an over-the-counter cream for the past 2 days to treat it. The nurse's initial response should be to:
Correct Answer: D
Rationale: Vaginal creams can skew Pap test results, so informing her is critical before proceeding or rescheduling.