ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A nurse is completing a minimum data set. Which area is the nurse working?
Correct Answer: A
Rationale: In the context of high-risk pregnancy assessment, the correct answer is A) Nursing center. When completing a minimum data set for a high-risk pregnancy, a nurse would typically be working in a nursing center where comprehensive assessments and monitoring of the pregnant woman and her fetus can be conducted by skilled healthcare professionals. Option B) Psychiatric facility is incorrect because it does not align with the context of assessing high-risk pregnancies. Option C) Rehabilitation center is also incorrect as it is not the setting where high-risk pregnancy assessments are typically performed. Option D) Adult day care center is not the correct choice as it is not the appropriate setting for assessing high-risk pregnancies due to the specialized care required in such cases. In an educational context, understanding the appropriate setting for specific assessments is crucial for nurses, especially when dealing with high-risk pregnancies. This knowledge ensures that assessments are conducted in the right environment with the necessary resources and expertise to provide optimal care for both the mother and the fetus.
Question 2 of 5
A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.)
Correct Answer: D
Rationale: The Institute of Medicine competencies include: Provide patient-centered care; work in interdisciplinary teams; use evidence-based practice; apply quality improvement; and use informatics. Transparency is included in the 10 rules of performance in a redesigned health care system, not a competency. While globalization is important in health care, it is not a competency.
Question 3 of 5
A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.)
Correct Answer: A
Rationale: The American Nurses Credentialing Center (ANCC) established the Magnet Recognition Program to recognize health care organizations that achieve excellence in nursing practice. The five components are Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovation, and Improvements; and Empirical Quality Results.
Question 4 of 5
The nurse is caring for a client in labor and delivery with the following history: G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early decelerations. The client states, 'I'm so scared. Please make sure the baby is OK!' Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct response by the nurse, "B) The fetal heart rate is within normal limits," is appropriate for several reasons. Firstly, the nurse acknowledges the client's concern and provides reassurance by addressing the specific worry about the baby's well-being. By informing the client that the fetal heart rate is within normal limits, the nurse offers objective information to alleviate anxiety and promote a sense of security during labor. This response demonstrates empathy, effective communication, and clinical knowledge, all essential components of high-quality nursing care in obstetrics. The incorrect responses can be easily identified as inappropriate for this scenario. Option A dismisses the client's fear without providing any factual information or emotional support, which can further increase the client's anxiety. Option C is insensitive and inappropriate as it brings up a traumatic event without any relevance to the current situation, potentially causing distress to the client. Option D is also irrelevant as it does not address the client's immediate concerns and can lead to confusion or misinterpretation. In an educational context, this question highlights the importance of effective communication and emotional support in high-risk pregnancy scenarios. Nurses must possess not only clinical knowledge but also interpersonal skills to address the emotional needs of clients during labor and delivery. Understanding how to respond empathetically and provide accurate information can enhance the nurse-client relationship, improve patient outcomes, and promote a positive birthing experience.
Question 5 of 5
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold's maneuvers?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Soft, round object on the left side of the uterus. When a fetus is in the Left Occiput Anterior (LOA) position in utero, the nurse would feel a soft, round object on the left side of the uterus during Leopold's maneuvers. This position indicates that the baby's back is along the mother's left side. Option A) Hard, round object in the fundal region would not be felt in an LOA position as the fundus is usually occupied by the baby's head in this scenario. Option B) Flat object above the symphysis pubis is not consistent with the LOA position as the baby's head is typically located higher in the uterus in this position. Option D) Small objects on the right side of the uterus would not be felt in an LOA position, as the baby's back is aligned along the left side of the mother's abdomen. This question is crucial for nurses caring for pregnant women as understanding fetal positions can help in assessing fetal well-being and planning for labor and delivery. Conducting Leopold's maneuvers correctly can provide valuable information about the fetus's position, presentation, and engagement, aiding in the management of high-risk pregnancies.