ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A patient who is at 22 weeks of gestation, unable to control gestational diabetes mellitus with diet and exercise
Question 1 of 5
Which of the following medications should the nurse anticipate the provider will prescribe?
Correct Answer: C
Rationale: Insulin is the preferred treatment for gestational diabetes in pregnancy, as it does not cross the placenta and safely controls glucose. Oral agents are less commonly used.
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 2 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A client who is in the first stage of labor, umbilical cord protruding from the vagina
Question 3 of 5
Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia in cord prolapse, an emergency. Other actions follow to maintain cord viability and prepare for delivery.
Extract:
A client who is suspected to have an ectopic pregnancy at 8 weeks of gestation
Question 4 of 5
What symptoms should the nurse expect to observe that are consistent with this diagnosis?
Correct Answer: A
Rationale: Unilateral, cramp-like pain is typical of ectopic pregnancy due to tubal irritation. Severe nausea, excessive uterine growth, and heavy bleeding are less common or indicate other conditions.
Extract:
A patient who is in labor
Question 5 of 5
Which of the following complications should the nurse identify that the patient is at risk of developing?
Correct Answer: A
Rationale: Without specific details, chorioamnionitis is a plausible risk during labor, especially with prolonged rupture of membranes. Other conditions require specific risk factors not provided.