ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
A nurse is monitoring a client with type 2 diabetes mellitus. Her blood work reveals a glycosylated hemoglobin (HbA1c) of 10%. The nurse knows this blood work indicates which of the following?
Correct Answer: C
Rationale: Rationale: 1. HbA1c reflects average blood glucose levels over the past 2-3 months. 2. A value of 10% indicates poor blood glucose control. 3. High HbA1c (above 6.5-7%) signifies uncontrolled diabetes. 4. Choice C is correct as it aligns with the interpretation of HbA1c. Summary: - Choice A is incorrect as 10% is not a normal HbA1c value. - Choice B is incorrect as a low value would indicate good control. - Choice D is incorrect as HbA1c is a key marker for diabetes management.
Question 2 of 5
The nurse is caring for a client in labor who is HIV positive. Which nursing care should be included?
Correct Answer: A
Rationale: The correct answer is A because administering antiretroviral drugs as ordered helps reduce the risk of vertical transmission of HIV from mother to baby during childbirth. This treatment is essential in managing the client's HIV status and ensuring the safety of the newborn. Choice B is incorrect because using a labor ball does not directly address the HIV status of the client or the transmission risk to the newborn. Choice C is incorrect as wearing gloves when handling the newborn does not replace the need for antiretroviral therapy to prevent transmission. Choice D is incorrect because breastfeeding can transmit HIV from mother to baby, so it is not recommended for HIV-positive mothers to breastfeed.
Question 3 of 5
The nurse is caring for a patient who is receiving magnesium sulfate for pre-eclampsia. Which assessments will be of the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Assessing lung sounds. This is of highest priority because magnesium sulfate can lead to respiratory depression. Assessing lung sounds helps monitor for signs of respiratory distress, such as decreased breath sounds or crackles. Assessing blood sugar level (B) is important but not as urgent as respiratory status. Encouraging fluid intake (C) is important for hydration but not as critical as respiratory assessment. Assessing for pitting edema (D) is relevant for monitoring fluid retention but not as immediate as assessing lung sounds for respiratory compromise.
Question 4 of 5
The nurse is caring for a client with severe hyperemesis gravidarum. She is 10 weeks gestation and has a 10% weight loss. The client is being admitted for fluid and electrolyte replacement. The nurse is aware it is important to check which deficiency that puts the client at risk for Wernicke’s encephalopathy?
Correct Answer: C
Rationale: The correct answer is C: Thiamine. Thiamine deficiency can lead to Wernicke’s encephalopathy in patients with severe hyperemesis gravidarum due to poor nutrient absorption and inadequate dietary intake. This condition can cause neurological symptoms like confusion and ataxia. Folic acid (A) deficiency is common in pregnancy but is not directly related to Wernicke's encephalopathy. Vitamin D (B) deficiency is associated with bone health and immune function, not neurological symptoms. Glucose (D) is important for energy production but is not directly linked to Wernicke's encephalopathy. Checking thiamine levels is crucial to prevent neurological complications in this client.
Question 5 of 5
The doctor suspects that the client is in preterm labor. Which symptom is consistent with this diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Abdominal cramping and lower back pain. These symptoms are typical of preterm labor due to the contractions of the uterus. Lower back pain is a common sign of labor, and abdominal cramping is indicative of uterine contractions. Severe pain in the lower quadrant (A) is more consistent with issues like appendicitis. Severe pain and hard abdomen (B) may indicate a more serious condition like placental abruption. Painless vaginal bleeding (C) is more characteristic of conditions like placenta previa. Therefore, choice D is the most appropriate in the context of suspected preterm labor.