ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
A client who is 30 weeks pregnant comes into the labor and delivery unit complaining of having a gush of fluid come from her vagina. Which complication is this client at risk for?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume deficit. When a pregnant client at 30 weeks experiences a gush of fluid from the vagina, it may indicate ruptured membranes leading to amniotic fluid leakage. This can lead to a decrease in amniotic fluid volume, potentially causing fluid volume deficit for both the mother and the fetus. This can result in complications such as preterm labor, infection, and fetal distress. The other choices are incorrect because: A: Infection is a potential risk due to the ruptured membranes, but the immediate concern is fluid volume deficit. C: Hypotension is not directly related to the scenario described. D: Decreased urinary output is not a typical immediate concern with ruptured membranes; rather, the focus should be on assessing for signs of fluid loss and ensuring hydration.
Question 2 of 5
Which factor places the client at the highest risk of pre-eclampsia?
Correct Answer: C
Rationale: The correct answer is C: Obesity. Obesity is a major risk factor for pre-eclampsia due to the increased strain on the cardiovascular system, leading to hypertension and other complications during pregnancy. Multiparity (B) is associated with a lower risk of pre-eclampsia, as previous pregnancies can provide some level of protection. Infertility (D) is not a known risk factor for pre-eclampsia. White race (A) is not a definitive risk factor for pre-eclampsia, as it can affect individuals of all races.
Question 3 of 5
The nurse is caring for a woman with a history of a previous preterm birth. Based on current knowledge related to cervical incompetency, which should the nurse do?
Correct Answer: C
Rationale: The correct answer is C because progesterone is a recommended treatment for cervical incompetency to prevent preterm birth. Progesterone helps support the uterine lining and decrease the risk of preterm labor. Therefore, discussing the action and side effects of progesterone with the patient is essential. A: While an abdominal ultrasound may provide information about the cervix, it is not the immediate priority in this case. B: Placing the patient on her left side is a common practice for improving blood flow, but it is not directly related to managing cervical incompetency. D: Monitoring blood pressure is important in prenatal care, but it is not specifically related to the management of cervical incompetency in this context.
Question 4 of 5
The nurse is caring for a client who is at 24 weeks gestation. Which assessment requires further intervention?
Correct Answer: D
Rationale: The correct answer is D because a urine dipstick reading of 3+ for protein indicates significant proteinuria, which can be a sign of preeclampsia in pregnancy. Preeclampsia poses serious risks to both the mother and the fetus, requiring immediate medical intervention. Choice A: Hemoglobin and hematocrit levels within normal range for pregnancy. Choice B: Blood pressure slightly elevated but not concerning at this gestational age. Choice C: Slight pedal swelling is common in pregnancy and may not indicate a serious issue at this time.
Question 5 of 5
The nurse is assessing a client who has been diagnosed with gestational diabetes. Which should the nurse monitor closely because of her diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Urine for glucose and ketones. In gestational diabetes, monitoring urine for glucose and ketones is crucial to assess for hyperglycemia and ketosis, which can indicate poor blood sugar control. This helps in adjusting the treatment plan and preventing complications. A: Edema is not directly related to gestational diabetes and is more commonly associated with conditions like heart failure or kidney disease. B: Monitoring blood pressure, pulse, and respiration is important in general health assessment but not specific to gestational diabetes. D: Hemoglobin and hematocrit levels are important for monitoring anemia, but not directly related to gestational diabetes management.