ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
Correct Answer: C
Rationale: The correct answer is C: RhoGAM if the patient is Rh-negative. During CVS, there is a risk of maternal-fetal blood mixing, especially if the patient is Rh-negative. RhoGAM is given to prevent sensitization to the Rh factor, which could lead to hemolytic disease in the newborn. Magnesium sulfate (A) is not indicated for CVS. Prostaglandin suppository (B) is used for cervical ripening or induction of labor, not for CVS. Betamethasone (D) is a corticosteroid given to pregnant women at risk of preterm delivery to promote fetal lung maturation, not indicated for CVS.
Question 2 of 5
The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks' gestation. The nurse determines that the patient understands the teaching when she states that will be collected for the initial screening process?
Correct Answer: B
Rationale: The correct answer is B: Blood. Alpha-fetoprotein (AFP) screening is a test that measures the level of AFP in the mother's blood to screen for certain fetal abnormalities. AFP is a protein produced by the fetus and can be detected in the mother's blood. Blood is the most appropriate sample for this screening as it directly reflects the fetal AFP levels. Urine (A), saliva (C), and amniotic fluid (D) do not contain AFP in levels that can be accurately measured for this screening, making them incorrect choices. Blood is the standard and most reliable sample for AFP screening due to its direct correlation with fetal AFP levels.
Question 3 of 5
A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
Correct Answer: D
Rationale: Managed care describes health care systems in which the provider or the health care system receives a predetermined capitated (fixed amount) payment for each patient enrolled in the program. Therefore, the focus of care shifts from individual illness care to prevention, early intervention, and outpatient care.
Question 4 of 5
When should the nurse begin discharge planning?
Correct Answer: C
Rationale: In the context of high-risk pregnancy, discharge planning is a crucial aspect of care that should begin as early as possible. Option C, "Upon admission to the hospital," is the correct choice for several reasons. Initiating discharge planning upon admission allows the healthcare team to assess the patient's needs, risks, and potential complications from the start. This early planning facilitates the development of a comprehensive care plan tailored to the specific high-risk pregnancy situation, ensuring that all necessary resources, education, and support are in place well in advance of discharge. Options A and B ("When the patient is ready" and "Close to the time of discharge") are incorrect because they overlook the proactive nature of discharge planning in high-risk pregnancy. Waiting until the patient feels ready or until the last minute can lead to rushed decisions, inadequate preparation, and increased risk of post-discharge complications. Option D ("After an order is written/prescribed") is also incorrect as it implies a reactive approach to discharge planning, which is not ideal in high-risk pregnancy where early identification and management of risks are key to improving outcomes for both the mother and the baby. In an educational context, understanding the importance of early discharge planning in high-risk pregnancy emphasizes the need for nurses to be proactive in assessing, planning, and coordinating care to ensure a smooth transition from hospital to home and ultimately improve patient outcomes. By starting discharge planning upon admission, nurses can address potential challenges, provide thorough education, and arrange necessary follow-up care, all of which are essential in managing high-risk pregnancies effectively.
Question 5 of 5
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Preventive care. Preventive care focuses on avoiding the onset of diseases or illnesses by promoting health and wellness through measures such as immunizations. The nurse providing immunizations through the public health department is engaging in preventive care by taking proactive steps to prevent the spread of communicable diseases among both children and adults. Option A) Primary care involves the provision of basic healthcare services to individuals seeking medical attention for common illnesses or injuries. While immunizations can be a part of primary care, the broader scope of care provided by the nurse in this context is preventive rather than primary. Option C) Restorative care is centered around helping individuals recover from an illness or injury. Administering immunizations is not considered restorative care as it is aimed at preventing illness rather than restoring health. Option D) Continuing care involves ongoing healthcare services provided to individuals with chronic conditions or long-term illnesses. While immunizations may be part of a broader plan of continuing care, the immediate focus of providing immunizations is on prevention rather than ongoing management of existing conditions. In an educational context, understanding the different levels of healthcare services is crucial for healthcare professionals to provide appropriate care to their patients. Recognizing the distinctions between preventive care, primary care, restorative care, and continuing care helps nurses make informed decisions about the type of care they are providing and ensures they deliver the most effective interventions for their patients' needs.