ATI RN
ATI Maternal Newborn Midterm Questions
Extract:
Glucose metabolism during pregnancy
Question 1 of 5
Why is glucose metabolism profoundly affected during pregnancy?
Correct Answer: B
Rationale: Placental hormones like human placental lactogen cause insulin resistance to prioritize fetal glucose supply, altering metabolism.
Extract:
A pregnant client
Question 2 of 5
What is the most important factor for successful teaching of the pregnant client by the maternity nurse?
Correct Answer: C
Rationale: Readiness to learn drives engagement and retention, making it critical for effective education. Other factors are secondary.
Extract:
A woman who wants to become pregnant with a 28-day menstrual cycle, first day of her menstrual period was January 8
Question 3 of 5
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?
Correct Answer: D
Rationale: Ovulation typically occurs around day 14 of a 28-day cycle, counting from the first day of the menstrual period. The fertile period includes about 5 days before and 1 day after ovulation due to sperm survival time. For a cycle starting January 8, day 14 is January 21, so the fertile window is approximately January 16-22. January 14-15 falls within this window, accounting for early ovulation variability.
Extract:
Client whose last menstrual period started on February 13th
Question 4 of 5
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?
Correct Answer: A
Rationale: Nagele's rule calculates EDC by subtracting 3 months from the first day of the last menstrual period and adding 7 days. Starting from February 13, subtracting 3 months gives November 13, and adding 7 days results in November 20.
Extract:
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortions
Question 5 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: D
Rationale: GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.