ATI RN
Anatomy and Physiology of Pregnancy Questions
Question 1 of 5
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Correct Answer: B
Rationale: At 14 weeks of gestation, the fundus should be palpable slightly above the symphysis pubis. This is because the fundus gradually rises with the progression of pregnancy. At this stage, the uterus is still within the pelvis and hasn't yet reached the level of the umbilicus or above it. Choice A is incorrect as some level of fundal height should be palpable by this time. Choice C is incorrect as the fundus is not expected to be at the level of the umbilicus until around 20 weeks. Choice D is also incorrect as the fundus would not typically be palpable slightly above the umbilicus until later in the pregnancy.
Question 2 of 5
The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?
Correct Answer: B
Rationale: The correct answer is B: She will have increased lordosis. During pregnancy, the increased weight of the growing uterus causes the center of gravity to shift forward, leading to an increased curvature of the lower back known as lordosis. This change helps to maintain balance and support the added weight. A: Her center of gravity will shift backward - This is incorrect as the center of gravity shifts forward during pregnancy due to the growing uterus. C: She will have increased abdominal muscle tone - This is incorrect as abdominal muscles may actually stretch and weaken during pregnancy to accommodate the growing baby. D: She will notice decreased mobility of her pelvic joints - This is incorrect as hormonal changes during pregnancy can actually lead to increased mobility of pelvic joints to prepare for childbirth.
Question 3 of 5
A woman is in her seventh month of pregnancy. She has been reporting nasal congestion and occasional epistaxis. The nurse suspects that:
Correct Answer: A
Rationale: Rationale: A: Correct. Nasal congestion and epistaxis are common in pregnancy due to increased estrogen causing mucosal swelling and vasodilation. B: Incorrect. Nosebleeds are not typically indicative of cardiovascular issues in pregnancy. C: Incorrect. There is no evidence to suggest domestic violence based on the symptoms provided. D: Incorrect. Cocaine use would have more severe implications beyond just nasal congestion and epistaxis in pregnancy.
Question 4 of 5
A patient at 24 weeks of gestation contacts the nurse at her obstetric provider’s office to complain that she has cravings for dirt and gravel. The nurse is aware that this condition is known as ________ and may indicate anemia.
Correct Answer: C
Rationale: The correct answer is C: pica. Pica is a condition where individuals crave and consume non-food items like dirt or gravel, which can indicate underlying anemia due to iron deficiency. In this case, the patient's cravings for dirt and gravel are concerning as it may suggest she is lacking essential nutrients like iron. A: Ptyalism is excessive saliva production and not related to cravings for non-food items. B: Pyrosis is a medical term for heartburn and is not associated with cravings for dirt or gravel. D: Decreased peristalsis refers to reduced movement of the intestines and is not directly related to cravings for non-food items.
Question 5 of 5
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a:
Correct Answer: A
Rationale: The correct answer is A: primipar. A primipar refers to a woman who has completed one pregnancy with a fetus reaching the stage of fetal viability. This term specifically indicates that the woman has given birth to at least one viable fetus. Explanation: 1. Primipar specifically refers to the number of completed pregnancies, indicating one pregnancy with a viable fetus. 2. Primigravida (B) refers to a woman who is pregnant for the first time and has not yet given birth. 3. Multipara (C) refers to a woman who has completed two or more pregnancies resulting in viable offspring. 4. Nulligravida (D) refers to a woman who has never been pregnant. In summary, the correct answer, primipar, is the most accurate term to describe a woman who has completed one pregnancy with a fetus reaching the stage of fetal viability, distinguishing her from the other choices.