ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is
Correct Answer: C
Rationale: The fundal height at 20 weeks gestation should be at the level of the umbilicus. When it is palpated 3 cm below the umbilicus, it is considered lower than normal for gestational age. This finding suggests possible fetal growth restriction or incorrect dating of the pregnancy. It is crucial to monitor closely for fetal well-being and growth. Choice A is incorrect because being 3 cm below the umbilicus is not appropriate for gestational age. Choice B is incorrect as it does not necessarily indicate impending complications, but rather a need for further evaluation. Choice D is incorrect as a fundus higher than normal for gestational age would suggest a larger-than-expected fetus or multiple gestation.
Question 2 of 5
A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: "If you are traveling by car, stop to walk every 1 to 2 hours." This is the best advice because it promotes circulation and reduces the risk of blood clots during long car rides. Walking helps prevent stiffness and discomfort. A: "Only travel by car during pregnancy" is incorrect because other modes of transportation can be safe as well. B: "Avoid use of the seat belt during the third trimester" is incorrect as wearing a seat belt is crucial for the safety of both the mother and the baby in case of an accident. C: "You can travel by plane until your 38th week of gestation" is incorrect as most airlines have restrictions on flying after 36 weeks due to the risk of preterm labor.
Question 3 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 4 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 5 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.