ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A pregnant patient asks the prenatal nurse how much physical activity is safe during pregnancy. What is an acceptable response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the level of activity prior to pregnancy is a good indicator of the safe activity level during pregnancy. This is because pregnant women are generally encouraged to continue their pre-pregnancy level of exercise, adjusting as needed based on individual circumstances. A is incorrect because decreasing physical activity may lead to more physical discomfort and emotional symptoms. B is incorrect as increasing physical activity can be beneficial if done safely. C is incorrect because hygiene and household tasks alone may not provide sufficient physical activity during pregnancy.
Question 2 of 5
What assessments or tests would the nurse inform the pregnant patient they can expect to have at each prenatal visit?
Correct Answer: D
Rationale: The correct answer is D: blood pressure. Monitoring blood pressure is essential during prenatal visits to detect any signs of preeclampsia or high blood pressure, which can be harmful to both the mother and baby. Regular blood pressure checks help ensure the health and well-being of the pregnant patient. Rationale: - A: Hemoglobin levels are typically checked to assess for anemia, but this may not be done at every prenatal visit unless there are specific concerns. - B: Antibody screen is usually done early in pregnancy to check for antibodies that could affect the baby, but it may not be part of routine prenatal visits. - C: Ultrasound is an important test during pregnancy, but it is not typically done at every prenatal visit unless there are specific concerns or for routine screening. Summary: Regular monitoring of blood pressure is crucial during prenatal visits to ensure the well-being of the pregnant patient. Hemoglobin, antibody screen, and ultrasound may not be done at every visit unless there are
Question 3 of 5
The nurse is performing the interval history on a patient at 30 weeks of gestation. What data would the prenatal nurse bring to the attention of the health-care provider?
Correct Answer: C
Rationale: Rationale: Choice C (dysuria for 3 days) is the correct answer as it could indicate a urinary tract infection (UTI) which can lead to complications during pregnancy. Dysuria may be a sign of UTI, which can progress quickly in pregnant women. Bringing this to the health-care provider's attention is essential for prompt treatment to prevent potential harm to both the mother and baby. Summary of other choices: A: Hgb change is within normal range for pregnancy, not necessarily alarming. B: Negative ketones in the urine are expected and indicate adequate glucose utilization. D: Weight gain of 3 pounds in 2 weeks is considered normal in the third trimester and not typically a cause for concern unless sudden or excessive.
Question 4 of 5
The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?
Correct Answer: D
Rationale: The correct answer is D: breech. At 36 weeks of gestation, if the nurse palpates the fetal head above the symphysis pubis and the fetal legs are at the top of the uterus, it indicates a breech presentation where the baby's buttocks or feet are positioned to be delivered first. In a breech presentation, the fetal head is not engaged in the pelvis and is palpable above the symphysis pubis. The longitudinal lie with the fetal legs on top further supports the breech presentation. Summary: A: Cephalic presentation would have the fetal head engaged in the pelvis. B: Compound presentation involves an additional body part alongside the presenting part. C: Transverse lie would have the baby positioned horizontally across the uterus. D: Breech presentation aligns with the given scenario of palpating fetal legs on top and head above the symphysis pubis.
Question 5 of 5
The nurse is teaching a patient at 28 weeks of gestation how to perform fetal movement counts. What statement by the patient indicates the patient understands teaching?
Correct Answer: C
Rationale: The correct answer is C because it accurately reflects the recommended protocol for fetal movement counts. By counting fetal movements over a 2-hour period and contacting the midwife if fewer than 10 movements are felt, the patient demonstrates understanding of the importance of monitoring fetal well-being. This approach aligns with the standard practice of assessing fetal activity as a crucial indicator of fetal health. Choice A is incorrect because counting for 1 hour may not provide a comprehensive assessment. Choice B is incorrect as it suggests delaying monitoring, which could be dangerous if there are concerns about fetal movement. Choice D is incorrect as it implies stopping the count prematurely, potentially missing crucial information about the baby's activity level.