ATI Maternal Newborn 2023

Extract:

In the context of diabetes incidence and classification, which statement should maternity nurses be aware of?

Question 1 of 5

Which statement should maternity nurses be aware of?

A. Type 1 diabetes is the most prevalent. B. Type 2 diabetes often remains undiagnosed. C. Type 1 diabetes can transition to type 2 during pregnancy. D. Gestational diabetes mellitus (GDM) implies that the woman will require insulin treatment until 6 weeks postpartum.

Correct Answer: B

Rationale: Type 2 diabetes often remains undiagnosed because its symptoms can be subtle and develop slowly, which is critical for maternity nurses to recognize.

Extract:

As a nurse in an antepartum unit performing triage, which client should be prioritized?

Question 2 of 5

Which client should be prioritized?

A. A client who has missed a menstrual cycle and reports vaginal spotting. B. A client who is at 28 weeks of gestation and reports painless vaginal bleeding. C. A client who is at 38 weeks of gestation and reports symptoms of a cough and fever. D. A client who is at 14 weeks of gestation and reports experiencing nausea and vomiting.

Correct Answer: B

Rationale: A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both obstetric emergencies requiring immediate evaluation.

Extract:

A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.

Question 3 of 5

What potential condition could the client be experiencing?

A. Shoulder dystocia B. Breech presentation C. Placenta previa D. Uterine rupture

Correct Answer: A

Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.

Extract:

A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client's last menstrual period started on July 27, what would be the client's EDB?

Question 4 of 5

What would be the client's EDB if her last menstrual period started on July 27?

A. 427 B. 504 C. 627 D. 727

Correct Answer: B

Rationale: Using NÃ¤gele's Rule: subtract 3 months from July 27 (April 27), add 7 days (May 4). The EDB in MMDD format is 0504.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.

Question 5 of 5

Which of the following symptoms would support this diagnosis?

A. Abdominal pain accompanied by minimal red vaginal bleeding. B. Intermittent abdominal pain following the passage of bloody mucus. C. Increasing abdominal pain with a nonrelaxed uterus. D. Painless red vaginal bleeding.

Correct Answer: D

Rationale: Painless red vaginal bleeding is a classic symptom of placenta previa, where the placenta covers the cervix, typically occurring in the third trimester.

ATI Maternal Newborn 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN