ATI RN
Fetal Development Questions Questions
Question 1 of 5
A female patient with a history of infertility is scheduled to have a hysterosalpingogram. Which findings can be detected with this procedure? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Tubal occlusions. Hysterosalpingogram is a diagnostic imaging procedure used to evaluate the uterus and fallopian tubes. It can detect tubal occlusions by visualizing the flow of contrast dye through the fallopian tubes. Choice B, uterine fibroids, is incorrect as hysterosalpingogram does not specifically assess uterine fibroids. Choice C, cervical irritation, is also incorrect as this procedure focuses on the uterus and fallopian tubes, not the cervix. Choice D, bicornuate uterus, is incorrect as hysterosalpingogram primarily evaluates tubal patency and uterine cavity shape, not specific uterine anomalies like a bicornuate uterus.
Question 2 of 5
What is the purpose of chorionic villus sampling (CVS) in the first trimester?
Correct Answer: C
Rationale: Rationale: CVS is done in the first trimester to assess the risk of chromosomal abnormalities in the fetus by obtaining a sample of cells from the placenta. This allows for genetic testing to detect conditions such as Down syndrome. Other choices are incorrect as CVS is not used to measure amniotic fluid quantity (A), confirm pregnancy (B), or assess maternal infection (D).
Question 3 of 5
A 27-year-old patient presents with injuries sustained in a motor vehicle accident. She was wearing her seatbelt and has multiple bruises and scrapes along her abdomen. She complains of pain 3/10 in her abdomen. She is G1P0 and is at 14 weeks’ gestation. A bedside ultrasound scan confirms that the fetus is stable and not in any distress. The patient is Rh negative, and her husband is Rh positive. What do you anticipate being the next step?
Correct Answer: B
Rationale: The correct answer is B: Administer Rh(D) immune globulin (RhoGAM). In this scenario, the patient is Rh negative and her husband is Rh positive, which puts her at risk for Rh isoimmunization. Administration of Rh(D) immune globulin (RhoGAM) helps prevent the mother's immune system from developing antibodies against the Rh-positive fetus's blood, thereby protecting future pregnancies. This intervention is crucial in preventing hemolytic disease of the newborn. Choice A: Obtaining a urinalysis is not indicated in this case as the patient's main concern is her abdominal pain and pregnancy status, not related to her urinalysis. Choice C: Discharging the patient without administering Rh(D) immune globulin would be inappropriate as it puts future pregnancies at risk of complications due to Rh incompatibility. Choice D: Scheduling a follow-up ultrasound is not the immediate next step. Administering Rh(D) immune globulin is the priority to
Question 4 of 5
The nurse is reviewing the schedule for the OB/GYN she works for. In reviewing a patient’s chart, the nurse notes the patient is 32 weeks pregnant, has hypertension, and had a previous fetal death. What test does the nurse anticipate the provider will order?
Correct Answer: C
Rationale: The correct answer is C: nonstress test. A nonstress test is used to assess fetal well-being by monitoring the baby's heart rate in response to its own movements. In this case, the patient's history of hypertension and previous fetal death indicate a higher risk pregnancy, making it important to monitor the baby's well-being. A contraction stress test (choice A) is not suitable for a patient with hypertension as it can induce contractions and potentially harm the baby. An amniotic fluid index (choice B) is used to evaluate amniotic fluid levels and is not specific to this patient's situation. Fetal movement count (choice D) assesses the baby's movements but does not provide real-time information on fetal well-being like a nonstress test does.
Question 5 of 5
The nurse is auscultating the fetal heart rate (FHR) on a patient at 37 weeks’ gestation. The nurse notes a line of darkened pigmentation on the pregnant person’s abdomen starting at the symphysis pubis and ending at the sternum. How does the nurse document this finding?
Correct Answer: B
Rationale: The correct answer is B: linea nigra. The linea nigra is a darkened pigmented line that runs from the symphysis pubis to the sternum in pregnant individuals. This line is a normal finding in pregnancy due to hormonal changes. It is important for the nurse to document this finding accurately as it is a common physiological change. Rationale: 1. Cholasma (A) is also known as the mask of pregnancy, presenting as dark patches on the face. 2. Spider nevi (C) are small, dilated blood vessels on the skin, not related to the linea nigra. 3. Striae gravidarum (D) are stretch marks that occur due to rapid stretching of the skin during pregnancy, not related to the pigmented line. In summary, the correct answer is B because the darkened line described is characteristic of linea nigra, a common finding in pregnancy, while the other choices are unrelated to this specific observation.