ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Breathing techniques help in managing pain perception during labor. 2. By assisting the patient in breathing methods, she gains control over her pain perception. 3. Controlled breathing can help distract from the intensity of contractions. 4. By focusing on breathing patterns, the patient can stay calm and manage pain effectively. Summary: A, B, and C are incorrect because they do not address pain management directly through breathing techniques. Option A relies on distraction, B focuses on isolation rather than coping mechanisms, and C suggests heavy reliance on medication rather than self-control.
Question 2 of 5
The nurse is discussing with the patient what laboratory tests are performed at the first prenatal visit. What tests for sexually transmitted infections does the nurse include in the discussion? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: VDRL. At the first prenatal visit, screening for syphilis is essential to prevent adverse outcomes. VDRL is a standard test for syphilis. GBS (Group B Streptococcus) testing is typically done later in pregnancy to prevent neonatal infection. Chlamydia culture is important but not typically done at the first visit; it is usually part of routine prenatal care. Hepatitis B testing is crucial during pregnancy but not specifically for sexually transmitted infections.
Question 3 of 5
The nurse is discussing the methods of confirming the pregnancy with a patient at the first prenatal visit. What method is used to confirm cardiac activity of the fetus?
Correct Answer: B
Rationale: The correct answer is B: pelvic ultrasound. Pelvic ultrasound is used to confirm the presence of cardiac activity in the fetus by visualizing the fetal heartbeat. This method is the most accurate and reliable way to confirm the viability of the pregnancy. A bimanual exam (choice A) is a physical examination technique that assesses the size and shape of the uterus but does not confirm fetal cardiac activity. Serum pregnancy test (choice C) and urine pregnancy test (choice D) detect the presence of human chorionic gonadotropin (hCG) hormone in the blood or urine, indicating pregnancy, but do not confirm fetal cardiac activity.
Question 4 of 5
A nurse is providing prenatal education to a patient who is 8 weeks pregnant. The nurse informs the patient that the developing fetus is most vulnerable to teratogens during what trimester of pregnancy?
Correct Answer: A
Rationale: The correct answer is A (first trimester). During the first trimester (weeks 1-12), the developing fetus is most vulnerable to teratogens as major organs are forming. Exposure to teratogens during this critical period can lead to severe birth defects. In contrast, the second trimester (weeks 13-26) is a period of rapid growth and development, but most major organs have already formed. The third trimester (weeks 27-birth) focuses on further growth and maturation, with reduced risk of teratogen-related birth defects. The fourth trimester is not a valid option as pregnancy only consists of three trimesters.
Question 5 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.