ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A mother who smokes cigarettes while pregnant
Question 1 of 5
What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?
Correct Answer: D
Rationale: Smoking causes hypoxia, risking severe brain damage with lifelong impacts. Other effects are less critical.
Extract:
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions
Question 2 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: D
Rationale: GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.
Extract:
A pregnant woman in her third trimester feeling faint, dizzy, and agitated
Question 3 of 5
What is the best nursing intervention for a pregnant woman in her third trimester who complains of feeling faint, dizzy, and agitated while her vital signs are being assessed?
Correct Answer: D
Rationale: Left-side positioning relieves vena cava compression, improving symptoms of supine hypotension. Other actions risk worsening the condition.
Extract:
A pregnant woman with gestational diabetes mellitus
Question 4 of 5
What are the maternal and neonatal risks associated with gestational diabetes mellitus?
Correct Answer: D
Rationale: GDM increases risks of maternal preeclampsia and fetal macrosomia due to glucose imbalances. Other options are unrelated complications.
Extract:
Appropriate weight gain in pregnancy
Question 5 of 5
Which suggestions should the nurse include when teaching about appropriate weight gain in pregnancy? (Select all that apply)
Correct Answer: A,B,C
Rationale: Normal and underweight women follow IOM guidelines, and adolescents need higher gains for growth. Twin pregnancies have specific ranges, and obese women gain less.