ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A laboring woman with early decelerations in FHR
Question 1 of 5
What is the cause of early decelerations in the fetal heart rate (FHR) of a laboring woman?
Correct Answer: A
Rationale: Early decelerations result from head compression during contractions, a benign response. Other causes produce different patterns.
Extract:
A woman using over-the-counter cream for a suspected vaginal infection
Question 2 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 alter Pap test results by affecting vaginal pH or cell visibility. Informing the woman ensures informed decision-making about proceeding.
Extract:
Pregnant woman
Question 3 of 5
The maternity nurse understands that vascular volume increases 40% to 45% during pregnancy to:
Correct Answer: C
Rationale: Vascular volume increases to supply the placenta, ensuring fetal oxygenation and nutrition. Renal plasma flow increases, dehydration prevention relies on fluid intake, and waste elimination is handled by other systems.
Extract:
A pregnant woman
Question 4 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:
Presumptive or probable signs of pregnancy
Question 5 of 5
Which presumptive sign (felt by the woman) or probable sign (observed by the examiner) of pregnancy is not matched with another possible cause?
Correct Answer: D
Rationale: Goodell sign (cervical softening) is pregnancy-specific. Other signs have non-pregnancy causes, like gas or stress.