ATI RN
Complications of antenatal care Questions
Question 1 of 5
A pregnant person at which age is at increased risk during pregnancy? Select all that apply.
Correct Answer: A,D
Rationale: The correct answers are A and D. At 18, there is an increased risk of complications due to the mother's physical immaturity. At 35, the risk increases due to advanced maternal age, associated with higher chances of chromosomal abnormalities. Choices B and C are less risky age groups compared to A and D.
Question 2 of 5
A pregnant person is admitted with preeclampsia. Identify the data most often associated with this condition.
Correct Answer: B
Rationale: The correct answer is B: BP 152/99. In preeclampsia, high blood pressure is a hallmark sign due to systemic vasoconstriction. This can lead to complications for both the pregnant individual and the fetus. Dependent edema (A) is a common symptom but not specific to preeclampsia. Fatigue (C) can occur in pregnancy but is not a defining feature of preeclampsia. Nausea, vomiting, and weight loss (D) are not typical symptoms of preeclampsia; rather, weight gain and fluid retention are more common.
Question 3 of 5
Which TORCH infection can be spread through respiratory droplets and cause congenital heart defects, cataracts, deafness, and central nervous system abnormalities?
Correct Answer: C
Rationale: The correct answer is C: rubella. Rubella is a TORCH infection that can be spread through respiratory droplets. It can cause congenital heart defects, cataracts, deafness, and central nervous system abnormalities in infants if the mother is infected during pregnancy. Rubella is known to have teratogenic effects on the developing fetus. Toxoplasmosis (A) is transmitted through ingestion of contaminated food or water, not respiratory droplets. Syphilis (B) is primarily sexually transmitted or through vertical transmission during pregnancy. Cytomegalovirus (D) is typically transmitted through bodily fluids like saliva, blood, urine, and breast milk, not solely through respiratory droplets.
Question 4 of 5
When providing care for a patient with placenta previa, what nursing action is essential?
Correct Answer: C
Rationale: The correct answer is C: assessing for signs of vaginal bleeding. In placenta previa, the placenta covers the cervix, leading to potential bleeding. Assessing for vaginal bleeding is crucial to monitor the patient's condition and detect any signs of hemorrhage. Administering oxytocin (A) can increase bleeding and is contraindicated. Assisting with a vaginal delivery (B) can be dangerous due to the placental location. Performing a vaginal exam (D) can increase bleeding and should be avoided unless necessary for an emergency situation.
Question 5 of 5
Which clinical sign would not present as a symptom of preeclampsia?
Correct Answer: C
Rationale: The correct answer is C: Glucosuria. Preeclampsia is characterized by hypertension, proteinuria, and edema. Glucosuria is not a typical symptom of preeclampsia. It indicates the presence of glucose in the urine, which is a sign of diabetes rather than preeclampsia. Therefore, glucosuria would not present as a symptom of preeclampsia. Other choices (A, B, D) are incorrect because they are commonly associated with preeclampsia based on pathophysiology and clinical presentation.