ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant woman and her partner receiving perinatal education
Question 1 of 5
When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?
Correct Answer: C
Rationale: Perinatal education aims to prepare couples for a positive birth by providing knowledge for informed decisions and coping strategies, enhancing satisfaction and well-being. Eliminating anxiety is unrealistic, control is partial, and labor skills are only one aspect.
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 2 of 5
Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
Correct Answer: A
Rationale: Recurrent pelvic infections (e.g., PI
D) scar fallopian tubes, increasing ectopic pregnancy risk by hindering egg transport. Ovarian cysts, oral contraceptives (which reduce risk), and irregular periods don't directly contribute.
Extract:
A pregnant woman at 16 to 18 weeks' gestation undergoing a triple/quadruple screen
Question 3 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: Low AFP suggests Down syndrome, often with altered hCG and estriol. Sickle-cell anemia uses other tests, cardiac defects may raise AFP, and respiratory issues don't typically affect AFP levels.
Extract:
A woman in her first trimester
Question 4 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 group of nurses learning about spontaneous abortion causes
Question 5 of 5
A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?
Correct Answer: C
Rationale: Fetal genetic abnormalities, like chromosomal errors, cause ~70% of first trimester abortions. Cervical insufficiency affects later trimesters, fibroids and maternal diseases (e.g., diabetes) are less common causes early on.