ATI RN
Possible Complications in Early Pregnancy Questions
Question 1 of 5
A patient is being treated for preterm labor. Which beta-adrenergic medication is administered orally to decrease uterine contractions?
Correct Answer: D
Rationale: Terbutaline is a beta-adrenergic agent that inhibits uterine contractions by reducing intracellular calcium levels; oral doses can be given as maintenance therapy. Magnesium sulfate is administered intravenously and not administered at home. Oxytocin induces labor. Nifedipine is a calcium channel blocker that decreases uterine contractions.
Question 2 of 5
A woman who is in the first trimester of her pregnancy has told the nurse, 'I've stopped taking my blood pressure pill because I know it could harm the baby. Instead, I've started taking natural and herbal remedies.' What nursing diagnosis is suggested by the woman's statement?
Correct Answer: A
Rationale: The correct answer is option A) Deficient knowledge related to drug and herbal effects during pregnancy. This nursing diagnosis is suggested by the woman's statement because she stopped taking her prescribed blood pressure medication without seeking proper medical advice and instead opted for natural and herbal remedies. This shows a lack of understanding regarding the potential risks and benefits of these alternative treatments during pregnancy. Option B) Health-seeking behaviors related to protection of fetal health is incorrect because although the woman's intention may be to protect her baby, her actions demonstrate a lack of knowledge rather than a proactive health-seeking behavior. Option C) Acute confusion related to the potential teratogenic effects of herbs is incorrect because there is no indication that the woman is experiencing confusion; rather, she appears to have made a decision based on misinformation or lack of knowledge. Option D) Effective therapeutic regimen management related to use of herbs rather than drugs is incorrect because the woman's decision to switch to herbal remedies without proper understanding or guidance does not reflect effective therapeutic regimen management. In an educational context, this question highlights the importance of patient education and the potential risks of relying on natural and herbal remedies during pregnancy without proper medical supervision. It underscores the need for healthcare providers to assess and address patients' knowledge gaps to ensure the safety and well-being of both the mother and the developing fetus.
Question 3 of 5
The nurse should reply to a pregnant woman experiencing significant nausea and vomiting by stating:
Correct Answer: C
Rationale: The correct answer is C because it is a common occurrence for nausea and vomiting to improve by the beginning of the second trimester of pregnancy. This is due to hormonal changes and adjustments in the body. Option D is not the correct answer as the improvement usually occurs earlier than when the baby starts to move. Option A is not relevant to the situation, and option B is inaccurate as nausea and vomiting typically improve before the third trimester.
Question 4 of 5
When examining the face of a woman who is 28 weeks pregnant, the nurse notices the presence of a butterfly-shaped increase in pigmentation on the face. The proper term for this finding in the documentation is:
Correct Answer: B
Rationale: The correct answer is B because chloasma is the medical term for a butterfly-shaped increase in pigmentation on the face. While it is also known as the mask of pregnancy, the nurse should use the correct medical term in documentation. Striae refers to stretch marks, and linea nigra is a hyperpigmented line on the abdomen.
Question 5 of 5
When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces. The murmur is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur. The nurse interprets this finding to be:
Correct Answer: B
Rationale: In this scenario, the nurse is likely detecting a mammary souffle. A mammary souffle is a benign vascular murmur heard over the breasts of pregnant or lactating women. This type of murmur is usually continuous, can be obliterated by applying pressure just lateral to it, and is typically heard over the second to fourth intercostal spaces. It is considered a normal finding in pregnancy due to increased blood flow in the breasts. The other options can be ruled out based on the clinical presentation and characteristics of the murmur described. Aortic stenosis and aortic insufficiency murmurs are typically associated with different characteristics and locations. A patent ductus arteriosus murmur would have a different quality and location than what is described in the scenario. Understanding the various types of murmurs and being able to differentiate between them is crucial for healthcare providers working in obstetric settings. It helps in providing accurate assessments, appropriate interventions, and ensuring the well-being of both the pregnant woman and the fetus. Being able to identify benign conditions like mammary souffle can prevent unnecessary concern or intervention.