ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is caring for a client, PP2, who is preparing to go home with her infant. The nurse notes that the client's blood type is O (negative), the baby's type is A (positive), and the direct Coombs' test is negative. Which of the following actions by the nurse is appropriate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is caring for a patient with a spontaneous abortion at 8 weeks’ gestation. What is the most common cause of first trimester loss?
Correct Answer: B
Rationale: The correct answer is B, spontaneous abortion. At 8 weeks' gestation, the most common cause of first-trimester loss is spontaneous abortion. This is due to genetic abnormalities in the fetus, making it non-viable. Ectopic pregnancy (choice A) occurs when the fertilized egg implants outside the uterus. Cervical insufficiency (choice C) is more common in the second trimester. Stillbirth (choice D) refers to fetal death after 20 weeks' gestation, not in the first trimester.
Question 4 of 5
A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
Correct Answer: B
Rationale: The correct answer is B: obesity. Obesity is a significant risk factor for IUFD (Intrauterine Fetal Demise) due to various complications such as gestational diabetes, preeclampsia, and placental insufficiency. In this case, the patient's BMI of 41 indicates severe obesity, putting her at higher risk for IUFD. Age (choice A) is not a significant risk factor in this scenario. Hypotension (choice C) may indicate potential complications but is not a direct risk factor for IUFD. Ethnicity (choice D) alone does not directly contribute to IUFD risk.
Question 5 of 5
What type of testing should be offered to a patient who has had a stillbirth?
Correct Answer: C
Rationale: The correct answer is C: placental pathology. Placental pathology testing can provide valuable insights into the cause of stillbirth, such as placental abruption or infection. This information can help guide future pregnancies and management. NIPTs (A) are used for prenatal screening, not for investigating stillbirth. Ultrasound (B) may not provide definitive answers about the cause of stillbirth. Blood crossmatch (D) is not relevant in the context of investigating a stillbirth.