ATI RN
Complications of antenatal care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Spontaneous termination of a pregnancy is considered to be an abortion if
Correct Answer: A
Rationale: The correct answer is A because spontaneous termination of a pregnancy before 20 weeks is considered a miscarriage, not an abortion. Choice B is incorrect because fetal weight does not determine the classification of the termination. Choice C is incorrect as passing products of conception intact does not define the type of termination. Choice D is also incorrect as the absence of intrauterine infection does not determine if the termination is considered a spontaneous abortion.
Question 5 of 5
The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to
Correct Answer: B
Rationale: The correct answer is B because assessing fetal heart rate and maternal vital signs is crucial to determine the immediate status of both the mother and the baby. This helps in identifying any signs of distress and guiding further interventions. Monitoring uterine contractions (A) can be important too, but assessing fetal heart rate and maternal vital signs take priority for immediate evaluation. Placing clean disposable pads (C) is helpful for drainage management but not the top priority. Performing a venipuncture for hemoglobin and hematocrit levels (D) is important for assessing blood loss but is not as immediate as assessing fetal heart rate and maternal vital signs.