ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
Fetal heart rate pattern
Question 1 of 5
Which finding meets the criteria of a reassuring fetal heart rate (FHR) pattern?
Correct Answer: A
Rationale: Normal variability (6-10 beats/min) indicates a healthy fetus. Late decelerations, no FHR change, or low baseline suggest distress.
Extract:
A woman hospitalized for hyperemesis gravidarum
Question 2 of 5
The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment will involve:
Correct Answer: B
Rationale: IV therapy restores fluid and electrolyte balance, critical in severe vomiting. Antiemetics, enteral nutrition, or steroids are secondary or inappropriate.
Extract:
A woman with severe abdominal and pelvic pain around menstruation, pain during intercourse, and 18 months of infertility
Question 3 of 5
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
Correct Answer: B
Rationale: Endometriosis involves endometrial tissue outside the uterus, causing chronic pain during menstruation and intercourse, and often infertility due to scarring and adhesions. Primary dysmenorrhea is not associated with infertility, secondary dysmenorrhea may not involve all symptoms, and PMS does not typically cause severe pain or infertility.
Extract:
A pregnant woman
Question 4 of 5
Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)
Correct Answer: B,C,E
Rationale: Rupture of membranes, heartburn with headache (possible preeclampsia), and vaginal bleeding signal complications requiring urgent attention. Urinary frequency and decreased libido are common and not urgent.
Extract:
A woman at 10 weeks of gestation with presumptive signs and symptoms of pregnancy
Question 5 of 5
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
Correct Answer: C
Rationale: At 10 weeks, a positive pregnancy test is a presumptive sign due to detectable hCG levels. Chadwick's and Hegar's signs are probable signs observed by examiners, not felt by the woman. Amenorrhea is presumptive but less specific, as other causes exist.