ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?
Correct Answer: A
Rationale: The correct answer is A: "The test results are within normal limits." A biophysical profile score of 8 is considered normal. A score of 8 out of 10 indicates that the fetus is likely healthy and does not require immediate delivery. The other choices are incorrect because immediate birth by cesarean section is not warranted for a score of 8, further testing is not necessary as the score is normal, and there is no need for an obstetric specialist to evaluate the results urgently. The most appropriate response reassures the patient that the results are normal, providing comfort and clarity.
Question 2 of 5
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?
Correct Answer: C
Rationale: The correct answer is C: A neural tube defect. Elevated AFP levels in maternal serum are indicative of neural tube defects in the fetus. AFP is produced by the fetal liver and yolk sac, and high levels may suggest a defect in the development of the neural tube. Hemophilia (A), sickle cell anemia (B), and abnormal lecithin-to-sphingomyelin ratio (D) do not directly correlate with AFP levels. Hemophilia is a genetic blood disorder, sickle cell anemia is a genetic blood disorder affecting hemoglobin, and abnormal lecithin-to-sphingomyelin ratio is related to fetal lung maturity.
Question 3 of 5
Which aspect of fetal diagnostic testing is most important to expectant parents?
Correct Answer: A
Rationale: The correct answer is A: Safety of the fetus. Expectant parents prioritize the safety of their unborn child above all else. Ensuring that the fetal diagnostic testing is safe for the fetus is crucial in making informed decisions about the pregnancy. Other choices are less important as safety directly impacts the well-being of the fetus, while the duration, cost, and physical discomfort are secondary considerations in comparison.
Question 4 of 5
Which factors should be considered a contraindication for transcervical chorionic villus sampling?
Correct Answer: D
Rationale: The correct answer is D because being positive for group B Streptococcus can increase the risk of infection during transcervical chorionic villus sampling, making it a contraindication. Rh-negative mother (A) and maternal age younger than 35 years (C) are not contraindications. Gestation less than 15 weeks (B) is not a strict contraindication but may affect the accuracy of the procedure.
Question 5 of 5
What does optimal nursing care after an amniocentesis include?
Correct Answer: B
Rationale: The correct answer is B: Monitoring uterine activity. After an amniocentesis, it is crucial to monitor uterine activity to detect any signs of preterm labor or uterine contractions. This helps in identifying any potential complications early on and ensures prompt intervention if needed. A: Pushing fluids by mouth is important for hydration but not directly related to optimal nursing care after an amniocentesis. C: Placing the patient in a supine position for 2 hours is not recommended as it may increase the risk of hypotension and discomfort for the patient. D: Applying a pressure dressing to the puncture site is not necessary after an amniocentesis as the risk of bleeding is minimal and pressure dressings may increase the risk of infection.