ATI RN
ATI Maternal Newborn III Questions
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 1 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 client with Rh-negative blood and Rh-positive partner
Question 2 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization effectively. Other schedules miss critical windows for blocking maternal antibody response.
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 3 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 client in her second trimester with a hemoglobin level of 11 g/dL
Question 4 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating
Correct Answer: A
Rationale: Hemodilution of pregnancy occurs as plasma volume increases more than red blood cell mass, lowering hemoglobin to 10.5-14 g/dL in the second trimester, which includes 11 g/dL. Multiple gestation may raise hemoglobin, weight gain doesn't affect it, and iron-deficiency anemia typically shows lower hemoglobin with symptoms like fatigue.
Extract:
A client with last menstrual period on April 11
Question 5 of 5
A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB) would be:
Correct Answer: B
Rationale: Nägele's rule: add 1 year, subtract 3 months, add 7 days. April 11, 2023 + 1 year = April 11, 2024; minus 3 months = January 11, 2024; plus 7 days = January 18, 2024. Other options misapply the rule.