ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A biophysical profile is performed on a pregnant patient. The results show a nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of the hand indicating the presence of fetal tone, and adequate amniotic fluid index (AFI). What is the correct interpretation of this test result?
Correct Answer: B
Rationale: The correct answer is B) A score of 8 would indicate normal results. In a biophysical profile, a score of 8 out of 10 is considered normal. In this scenario, the nonreactive NST (lack of accelerations with fetal movement) would typically result in a score of 0 for that component. However, the presence of three FBMs, fetal tone, and adequate AFI each contribute 2 points to the total score, resulting in a total score of 8. This indicates that the fetus is likely healthy and exhibiting appropriate physiological responses. Option A is incorrect because a score of 10 would not be equivocal with a nonreactive NST. Option C is incorrect as a score of 6 would not warrant birth as a treatment option based on these results. Option D is incorrect as a score of 9 would typically indicate reassuring results, but in this case, the correct interpretation is a score of 8 for normal results. Educationally, understanding the components of a biophysical profile and how to interpret the results is crucial in monitoring the well-being of a fetus, especially in cases of advanced maternal age where the risk of pregnancy complications may be higher. It is important for healthcare providers to be able to accurately interpret these tests to make informed decisions regarding the management of pregnancy.
Question 2 of 5
Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Avoid eating greasy foods. Nausea and vomiting are common symptoms of early pregnancy, known as morning sickness. Greasy foods can exacerbate these symptoms due to their heavy nature, which can be harder to digest and may trigger nausea in pregnant women. Providing anticipatory guidance to avoid greasy foods can help alleviate or prevent these symptoms. Option B) Drink orange juice before rising is incorrect as acidic foods like orange juice can sometimes worsen nausea in pregnant women, especially on an empty stomach. Option C) Consuming 1 teaspoon of nutmeg each morning is incorrect and potentially harmful as nutmeg in large amounts can be toxic during pregnancy. Option D) Eating 3 large meals plus a bedtime snack is incorrect as large meals can overwhelm the digestive system and exacerbate nausea. Encouraging smaller, more frequent meals is often recommended for pregnant women experiencing morning sickness. In an educational context, it is crucial for nurses to provide evidence-based anticipatory guidance to pregnant clients to help manage common symptoms like nausea and vomiting. Understanding the effects of different foods on pregnancy symptoms is vital for promoting maternal and fetal well-being during this critical time.
Question 3 of 5
A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.
Correct Answer: A
Rationale: In the 10th week of pregnancy, a client may experience backache due to the growing uterus putting pressure on the lower back muscles and ligaments. This symptom is common and expected during early pregnancy. Urinary frequency is more commonly associated with early pregnancy, but it typically occurs in the first trimester due to hormonal changes and the growing uterus pressing on the bladder. Dyspnea on exertion and fatigue are symptoms that may be more commonly experienced in later stages of pregnancy, typically in the second and third trimesters, as the body undergoes more physiological changes to support the growing fetus. Educationally, understanding the timing and typical symptoms of pregnancy is crucial for nurses and healthcare providers to provide appropriate care and support to pregnant clients. Recognizing the expected symptoms at different stages of pregnancy allows for timely interventions and reassurance for the client. It is important for nurses to differentiate between normal pregnancy symptoms and potential complications to ensure the well-being of both the mother and the developing fetus.
Question 4 of 5
A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) An enlarged ovary. Explanation of why B is correct: During early pregnancy, the ovary that released the mature egg (ovulation) develops into a structure known as the corpus luteum. This corpus luteum produces progesterone, which helps maintain the early pregnancy until the placenta takes over this function. As a result, the ovary on the side from which the egg was released may appear enlarged due to the presence of the corpus luteum. Explanation of why others are wrong: A) Thin cervical muscle: The cervical muscle thickness is not typically assessed during a vaginal examination in early pregnancy. C) Thick cervical mucus: While cervical mucus changes occur during the menstrual cycle, the consistency of cervical mucus alone would not be expected to be a notable finding during a routine vaginal examination at 6 weeks of pregnancy. D) Pale pink vaginal wall: The color of the vaginal wall is not a specific indicator of pregnancy or maternal age monitoring at such an early gestational age. Educational context: Understanding the physiological changes that occur in early pregnancy is crucial for healthcare providers monitoring pregnant women, especially those of advanced maternal age. Recognizing the presence of an enlarged ovary due to the corpus luteum formation can aid in assessing the normal progression of pregnancy and supporting maternal and fetal well-being. This knowledge enhances the practitioner's ability to provide comprehensive care and appropriate guidance to women with advanced maternal age.
Question 5 of 5
A client who was seen in the prenatal clinic at 20 weeks’ gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks’ gestation?
Correct Answer: C
Rationale: In the context of pharmacology, understanding weight gain during pregnancy is crucial for monitoring maternal health. During a normal pregnancy, weight gain is expected due to the growing fetus, amniotic fluid, placenta, and increased blood volume. The recommended weight gain for a woman of normal weight with a singleton pregnancy is around 25-35 pounds. In this scenario, the correct answer is option C) 133 to 134 lb. This is because, by 24 weeks' gestation, a woman with a starting weight of 128 lb would typically have gained around 12-14 pounds. Therefore, her weight would be expected to be around 140-142 lb at 24 weeks. Option A) 129 to 130 lb and Option B) 131 to 132 lb are too low considering the normal weight gain trajectory during pregnancy. Option D) 135 to 136 lb is too high based on the expected weight gain by 24 weeks. Educationally, understanding weight gain patterns in pregnancy is essential for nurses and healthcare providers to monitor maternal and fetal well-being, assess for complications like gestational diabetes or hypertension, and provide appropriate interventions and counseling for optimal pregnancy outcomes. It also highlights the importance of individualized care and regular monitoring to ensure the health and safety of both the mother and the baby.