ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
Correct Answer: C
Rationale: The correct answer is C. Observation of posture and body mechanics is essential in assessing lower back pain in a pregnant patient to identify any potential causes related to the growing uterus and changes in body mechanics. Palpation of the lumbar spine (Choice A) may provide some information but does not address the underlying issue. Exercise pattern and duration (Choice B) are important but not the priority in this scenario. Ability to sleep for at least 6 hours uninterrupted (Choice D) is not directly related to assessing lower back pain.
Question 2 of 5
When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida. A: Multigravida refers to a woman who has been pregnant two or more times. B: Multipara refers to a woman who has given birth two or more times. C: Nullipara refers to a woman who has never given birth. Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.
Question 3 of 5
Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation.
Correct Answer: D
Rationale: Rationale for Answer D (G5 T1 P1 A2 L2): - G (Gravida): The patient is in her fifth pregnancy - T (Term births): She has had one infant at 38 weeks' gestation - P (Preterm births): She has had one infant at 32 weeks' gestation - A (Abortions): She has had two spontaneous abortions in the first trimester - L (Living children): She has 2 living children Summary of other choices: - A: Incorrect as it states 2 living children, which is not accurate - B: Incorrect as it only accounts for one abortion and one living child - C: Incorrect as it indicates no living children, which is not true based on the given information Therefore, Answer D is the correct option based on the patient's obstetric history.
Question 4 of 5
Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?
Correct Answer: D
Rationale: The correct answer is D because relaxing in a hot tub for 30 minutes a day, several days a week can increase the body temperature, which is harmful during the first trimester and can lead to birth defects. Choice A is not a risk factor as it promotes a healthy sexual relationship. Choice B is beneficial as moderate exercise is recommended during pregnancy. Choice C is not necessarily a risk factor unless it involves exposure to harmful substances or excessive stress.
Question 5 of 5
A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?
Correct Answer: C
Rationale: Rationale: C is correct because when a patient with an IUD in place has a positive pregnancy test, the IUD should be removed to avoid complications such as ectopic pregnancy, miscarriage, or infection. Leaving the IUD in place can increase the risk of adverse outcomes for both the mother and the fetus. Removing the IUD allows for safer management of the pregnancy and reduces potential harm. Summary: A: Incorrect. Fetal damage is not inevitable, and a therapeutic abortion is not the immediate action required in this situation. B: Incorrect. Hormonal analyses are not the priority when a positive pregnancy test with an IUD in place is detected. D: Incorrect. Leaving the IUD in place can lead to complications and is not the recommended course of action.