ATI RN
ATI Maternal Newborn Midterm Exam 1 Questions
Extract:
Infant of a diabetic mother.
Question 1 of 5
Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
Correct Answer: D
Rationale: Hypoglycemia is common in infants of diabetic mothers due to high fetal insulin levels post-delivery, requiring close monitoring.
Extract:
None specified.
Question 2 of 5
Compared with contraction stress test (CST), nonstress test (NST) for antepartum fetal assessment:
Correct Answer: A
Rationale: NST is noninvasive with no contraindications, unlike CST, which risks preterm labor. NST is less expensive, has more false positives, and is less sensitive.
Extract:
A woman using over-the-counter cream for a suspected vaginal infection.
Question 3 of 5
A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and has been using an over-the-counter cream for the past 2 days to treat it. The nurse's initial response should be to:
Correct Answer: D
Rationale: Vaginal creams can skew Pap test results, so informing her is critical before proceeding or rescheduling.
Extract:
A pregnant woman with gestational diabetes mellitus at 24 weeks.
Question 4 of 5
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: C
Rationale: GDM increases fetal macrosomia risk due to excess glucose, causing delivery complications. Low birth weight and CNS anomalies are less common.
Extract:
A pregnant woman.
Question 5 of 5
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal movement palpated by a nurse-midwife is a positive sign, confirming a fetus. Braxton Hicks and positive tests are probable, and quickening is presumptive.