ATI RN
Pregnancy Assessment Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A breastfeeding mother and her baby are being discharged home after delivery. The nurse is providing anticipatory guidance about what signs to expect the baby to exhibit every 24 hours by the end of the first week. Which of the following should the nurse include in his/her instructions?
Correct Answer: A
Rationale: Rationale: The correct answer is A) The baby will have at least 6 wet diapers. During the first week postpartum, it is crucial for the nurse to educate the mother about signs of adequate breastfeeding and infant hydration. Monitoring diaper output is an essential indicator of infant well-being. At least 6 wet diapers per day indicate that the baby is adequately hydrated and receiving enough breast milk. Option B) The baby will have at least 6 pasty stools is incorrect because the frequency of bowel movements varies among infants, and stool consistency can change based on multiple factors, including breastfeeding. Option C) The baby will breastfeed at least 6 times is incorrect as the frequency of breastfeeding can vary greatly among infants, and it is more important to focus on the baby's cues for feeding rather than a specific number of feedings. Option D) The baby will gain at least 6 ounces is incorrect because weight gain can vary in the first week, and it is not a reliable daily indicator of successful breastfeeding. Educationally, it is crucial for nurses to provide evidence-based anticipatory guidance to support successful breastfeeding and infant care. Understanding normal infant behaviors and growth patterns helps mothers feel confident in caring for their newborns. Monitoring diaper output is a simple yet effective way to assess infant hydration and feeding adequacy.
Question 5 of 5
The nurse is teaching a woman how to do the pelvic tilt exercise. In the teaching session, which of the following should the nurse tell the woman to do?
Correct Answer: C
Rationale: The correct answer is C) Move so that her back alternately is concave and convex. This is the correct instruction for the pelvic tilt exercise as it involves tilting the pelvis to alternately flatten and arch the lower back, engaging the abdominal and back muscles to promote core strength and flexibility. This movement helps improve posture, reduce back pain, and strengthen the pelvic floor muscles, which are crucial during pregnancy and childbirth. Option A) Stand with the back of her heels and shoulders touching a wall is incorrect because this position does not facilitate the pelvic tilt exercise. Option B) Bend laterally back and forth from one side to the other is incorrect as it describes a different exercise that focuses on side-to-side movement rather than the specific pelvic tilt motion. Option D) Lie flat on her back and move her hips from side to side is also incorrect as lying flat on the back during pregnancy, especially in later stages, can restrict blood flow to the baby and should be avoided. In an educational context, it is essential for nurses to teach pregnant women safe and effective exercises like the pelvic tilt to promote their well-being and prepare their bodies for labor and delivery. Providing accurate instructions and guidance ensures that pregnant women can benefit from these exercises without risking harm to themselves or their babies.