Questions 61

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ATI Maternal Newborn Midterm Questions

Extract:

Contraction stress test (CST)


Question 1 of 5

What should a nurse know about the contraction stress test (CST) when providing care for the antepartum woman?

Correct Answer: B

Rationale: A negative CST (no late decelerations) is reassuring. Vibroacoustic stimulation is for NST, CST is non-invasive, and it's contraindicated with ruptured membranes.

Extract:

Fetal well-being during labor


Question 2 of 5

How is fetal well-being during labor assessed?

Correct Answer: C

Rationale: FHR response to uterine contractions reveals oxygenation status. Other options are less direct or incomplete indicators.

Extract:

A pregnant woman at 32 weeks complaining of dizziness, light-headedness, pale and moist skin


Question 3 of 5

What should the nurse do first if a pregnant woman at 32 weeks of gestation complains of feeling dizzy and light-headed while her fundal height is being measured and her skin is pale and moist?

Correct Answer: C

Rationale: Turning to the side relieves supine hypotensive syndrome, improving blood flow. Other actions may worsen symptoms or delay intervention.

Extract:

Pregnant women


Question 4 of 5

Which pregnant woman should restrict her weight gain during pregnancy?

Correct Answer: C

Rationale: Overweight women should limit weight gain to reduce risks like gestational diabetes or hypertension. Short women, adolescents, and twin pregnancies require higher weight gain.

Extract:

A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions


Question 5 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.

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