ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
A pregnant client
Question 1 of 5
What is the most important factor for successful teaching of the pregnant client by the maternity nurse?
Correct Answer: C
Rationale: Readiness to learn drives engagement and retention, making it critical for effective education. Other factors are secondary.
Extract:
A pregnant woman with gestational diabetes mellitus at 24 weeks
Question 2 of 5
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: C
Rationale: GDM increases fetal glucose levels, leading to macrosomia (large birth weight), which risks birth trauma. Low birth weight, preterm birth, and anomalies are less directly linked.
Extract:
Antepartum fetal assessment
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 can induce labor. NST is less expensive, has more false positives, and is less sensitive than CST.
Extract:
A woman at 30 weeks with FHR of 82 beats/min
Question 4 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:
A woman who has had a mastectomy
Question 5 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.