ATI RN
ATI Maternal Newborn III Questions
Extract:
A woman in her first trimester
Question 1 of 5
When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?
Correct Answer: B
Rationale: Emotional lability is typical in the first trimester from hormonal changes causing irritability or crying. Ambivalence is less common unless conflicted, introversion isn't pregnancy-specific, and acceptance grows over time.
Extract:
A client who is 4 months pregnant with twins born at 34 weeks, a son at 39 weeks, and a spontaneous abortion at 6 weeks
Question 2 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year-old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: B
Rationale: GTPAL: Gravida (4 pregnancies: twins, son, abortion, current), Term (1 at 39 weeks), Preterm (1 at 34 weeks), Abortions (1 at 6 weeks), Living (3 children). Thus, 4-1-1-1-3 is correct. Other options miscalculate pregnancies, preterm births, or living children.
Extract:
A client receiving penicillin G benzathine 1.2 million units IM
Question 3 of 5
A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer?
Correct Answer: A
Rationale: Formula: volume = dose / concentration. 1,200,000 units / 600,000 units/mL = 2 mL. Other options result from incorrect division or rounding errors.
Extract:
A pregnant woman at 16 to 18 weeks' gestation undergoing a triple/quadruple screen
Question 4 of 5
A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's alpha-fetoprotein (AFP) level is decreased?
Correct Answer: C
Rationale: Decreased AFP, with altered hCG and estriol, suggests Down syndrome (trisomy 21). Sickle-cell anemia, cardiac defects, and respiratory disorders don't typically lower AFP; cardiac defects may raise it.
Extract:
A client who may be pregnant
Question 5 of 5
A nurse is assessing a client who may be pregnant. The nurse reviews the client's history for presumptive signs. Which signs would the nurse most likely note? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Presumptive signs, subjective or non-definitive, include nausea (hormonal), abdominal enlargement (uterine growth), positive pregnancy test (hCG detection), and amenorrhea (missed periods). Braxton Hicks are probable signs, felt later.