ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A client complaining of frequency, urgency, and burning on urination is seen by her health care practitioner. Which of the following factors in the client's history places her at risk for these complaints?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer. Using a diaphragm as a family planning method can increase the risk of urinary tract infections (UTIs) due to potential pressure on the bladder and urethra, leading to symptoms like frequency, urgency, and burning during urination. This is because the diaphragm can potentially push against the urinary structures, making it easier for bacteria to enter and cause infections. Option A is incorrect because urinating after sexual intercourse is actually a recommended practice to help prevent UTIs by flushing out any bacteria that may have entered the urethra during intercourse. Option C is incorrect as wiping from front to back after toileting is a good hygiene practice that helps prevent the introduction of bacteria from the rectal area to the urinary tract, reducing the risk of UTIs. Option D is also incorrect as changing peripads frequently during menses is a good hygiene practice but is not directly related to the development of UTIs. Educationally, understanding the risk factors for UTIs in the context of contraceptive methods is crucial for healthcare practitioners to provide appropriate counseling to clients. It's essential for healthcare providers to educate clients on the potential effects of different contraceptive methods on their health, including the risk of UTIs associated with certain methods like the diaphragm.
Question 2 of 5
A doula is working with a laboring woman who is 6 cm dilated and is contracting every 3 min × 60 sec on an oxytocin drip. Which of the following interventions should the nurse suggest the doula perform?
Correct Answer: C
Rationale: In this scenario, the correct intervention for the doula to suggest is option C: Encourage the woman to use breathing techniques. This is the most appropriate action because breathing techniques can help the laboring woman manage the pain and stress of labor, promote relaxation, and provide a sense of control during the birthing process. Option A, regulating the oxytocin drip rate, is not within the scope of practice for a doula as it involves medication administration, which is the responsibility of the healthcare provider. Checking the vaginal dilation (option B) is also a task for the healthcare provider and not the doula. Monitoring for uterine hyperstimulation (option D) is important, but it is the role of the healthcare provider, such as a nurse or physician, to assess and manage potential complications like this during labor. In an educational context, it is essential for doulas to understand their scope of practice and role in supporting women during labor. Encouraging the use of non-pharmacological pain management strategies like breathing techniques aligns with the holistic approach to childbirth support that doulas provide. By empowering women to cope with labor through techniques like breathing, doulas can enhance the birthing experience and contribute to a positive outcome for both the mother and baby.
Question 3 of 5
The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following should be included in the counseling session?
Correct Answer: A
Rationale: In counseling a woman with mild osteoporosis, it is crucial to provide her with evidence-based recommendations to manage her condition effectively. Option A, beginning a regimen of walking each day, is the correct choice for several reasons. Weight-bearing exercises like walking help improve bone density and reduce the risk of fractures associated with osteoporosis. Regular physical activity also enhances overall health and well-being. Options B, refraining from drinking chocolate milk, and C, increasing her daily intake of red meat, are incorrect. Chocolate milk, unless excessively consumed, can provide essential nutrients like calcium and vitamin D beneficial for bone health. Red meat, while a source of protein, should not be promoted in excess due to its saturated fat content, which can have negative implications for cardiovascular health. Option D, only wearing shoes with rubber soles, is also incorrect as it does not directly impact osteoporosis management. Providing educational context on the importance of weight-bearing exercises, balanced nutrition focusing on calcium-rich foods beyond red meat, and overall lifestyle modifications would empower the woman to take an active role in improving her bone health and quality of life.
Question 4 of 5
A 32-week-gravid client presents in the emergency department with severe abdominal pain, rigid abdomen, and scant dark red bleeding. The nurse should assess this client for which of the following?
Correct Answer: B
Rationale: In this scenario, option B) Enlarging abdominal girth measurements is the correct answer. This presentation of a 32-week-gravid client with severe abdominal pain, rigid abdomen, and scant dark red bleeding is concerning for a possible ruptured ectopic pregnancy or placental abruption. Enlarging abdominal girth measurements would be indicative of a potential intra-abdominal hemorrhage, which aligns with the symptoms described. Option A) Signs of pulmonary edema is incorrect because the symptoms described do not directly suggest a pulmonary issue, but rather an abdominal emergency. Option C) Hyporeflexia and confusion are not typical manifestations associated with the clinical presentation described and would not be the priority assessments in this situation. Option D) Signs of diabetic coma and ketosis are unrelated to the symptoms presented and would not be the primary concern for a gravid client with severe abdominal pain and bleeding. In an educational context, understanding the importance of assessing for specific signs and symptoms in pregnant clients presenting with abdominal pain is crucial for nurses to provide timely and appropriate care. Recognizing the significance of changes in abdominal girth measurements can aid in early detection and intervention for potentially life-threatening conditions during pregnancy. This rationale underscores the importance of critical thinking and clinical reasoning in the assessment and management of pregnant clients in emergency situations.
Question 5 of 5
A woman, who is in pain from a diagnosis of mastitis, has abruptly weaned her baby to a bottle. Her actions place the woman at high risk for which of the following?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Breast abscess. When a woman abruptly weans her baby to a bottle while experiencing mastitis (inflammation of the breast tissue), it can lead to engorgement and blocked milk ducts due to incomplete emptying of the breast. This creates a conducive environment for bacterial infection, increasing the risk of developing a breast abscess. Option A) Mammary rupture is incorrect because weaning abruptly is not typically associated with mammary rupture. Option B) Postpartum psychosis is unrelated to the scenario described. Option C) Supernumerary nipples refer to extra nipples, which do not pose a direct risk in this context. Educationally, it is crucial for healthcare providers to educate women on the importance of gradual weaning to prevent complications like breast abscesses. Understanding the physiological changes during weaning and the increased risk of complications can empower women to make informed decisions regarding breastfeeding cessation. Early recognition of symptoms and appropriate management are essential in preventing severe outcomes like breast abscesses.