ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A woman at 30 weeks with FHR of 82 beats/min
Question 1 of 5
What is the first action that the nurse should take when assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation and finding a rate of 82 beats/min?
Correct Answer: C
Rationale: Checking maternal pulse rules out confusion with FHR. Bradycardia (82 beats/min) is abnormal, requiring further evaluation, not immediate notification or reassurance.
Extract:
Maternal serum analysis
Question 2 of 5
Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
Correct Answer: D
Rationale: Multiple-marker screening tests maternal serum for markers like AFP and hCG to estimate risks of Down syndrome and other chromosomal issues. Other tests assess different aspects.
Extract:
A client with endometriosis
Question 3 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.
Extract:
Fetal heart rate variability
Question 4 of 5
The most common cause of decreased variability in the fetal heart rate (FHR) that lasts 30 minutes or less is:
Correct Answer: A
Rationale: Fetal sleep cycles naturally reduce FHR variability for short periods and are benign. Compression, cerebral blood flow issues, or hypoxemia indicate distress and are less common.
Extract:
A woman with placenta previa
Question 5 of 5
A placenta previa in which the placental edge just reaches the internal os is more commonly known as:
Correct Answer: B
Rationale: Marginal placenta previa involves the placental edge reaching but not covering the internal os, distinguishing it from total, complete, or partial types.