ATI RN
Anatomy and Physiology of Pregnancy Questions
Question 1 of 5
After receiving information on the signs and symptoms of potential complications during pregnancy, the prenatal client knows to immediately report which of the following to her health care provider? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Enlargement of breasts and tenderness. This is because backache, flank pain, burning on urination, abdominal cramping, and vaginal bleeding are not typically associated with potential complications during pregnancy. Enlargement of breasts and tenderness could indicate conditions like preeclampsia or ectopic pregnancy, which require immediate medical attention to prevent serious complications. The other choices do not directly relate to pregnancy complications and may not be urgent concerns. It's crucial for the prenatal client to report any unusual or concerning symptoms to her healthcare provider promptly to ensure the safety of both her and the baby.
Question 2 of 5
A client at 20 weeks gestation has just been examined during a prenatal visit. Which assessment should the nurse recognize as an abnormal finding and the need for further testing?
Correct Answer: A
Rationale: The correct answer is A. At 20 weeks gestation, the fundal height should correspond closely to the number of weeks pregnant (around 20 cm). A fundal height of 26 cm indicates potential fetal growth abnormalities or incorrect dating. Further testing, such as an ultrasound, is needed to assess fetal growth and well-being. Choice B (Pulse rate 15 bpm higher) is not typically concerning during pregnancy as pulse rate can increase due to physiological changes. Choice C (Blood pressure of 128/68) falls within the normal range for pregnancy. Choice D (Deep tendon reflexes +2) is a normal finding and not an indication for further testing.
Question 3 of 5
A woman who is primigravida is complaining of leg cramps. Which statement by the nurse best describes how to provide relief from this discomfort?
Correct Answer: B
Rationale: The correct answer is B: Dorsiflex the foot to relieve the cramping. Dorsiflexing the foot, which involves pulling the toes towards the shin, helps to stretch the calf muscle and alleviate cramping. This action targets the specific muscle group affected by leg cramps. A: Incorrect. Stretching by extending both legs and touching your toes may not directly target the calf muscle. C: Incorrect. Elevating the leg above the heart is more suitable for reducing swelling, not necessarily relieving leg cramps. D: Incorrect. Plantar flexing the foot (pointing toes away from the shin) may worsen the cramping as it contracts the calf muscle further.
Question 4 of 5
A client in her third trimester reports increased perineal pressure. Which is the clinical cause for this complaint?
Correct Answer: A
Rationale: The correct answer is A: Fundal height. In the third trimester, the growing uterus causes increased pressure on the pelvic organs, leading to perineal pressure. Fundal height measures the height of the uterus and correlates with gestational age, indicating the position and size of the fetus. As the uterus grows, fundal height increases, causing pressure on the perineal area. Urinary infection (B) can cause discomfort but would present with other symptoms like burning urination. Constipation (C) may cause discomfort but typically does not lead to increased perineal pressure. Hydramnios (D) refers to excess amniotic fluid, which can lead to abdominal distension but is not directly related to perineal pressure.
Question 5 of 5
A client at 10 weeks gestation is being seen by the nurse. The client reports that she has nausea and vomiting each morning. Which is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B: Eat crackers before you get out of bed. This is the best response because eating crackers before getting out of bed can help alleviate nausea and vomiting associated with morning sickness in early pregnancy. The crackers can help stabilize blood sugar levels and settle the stomach. Drinking a large glass of milk (choice A) may exacerbate nausea for some individuals. Eating dinner before 6:00 p.m. (choice C) is not directly related to morning sickness. Eating small meals during the day (choice D) is generally a good strategy, but specifically eating crackers before getting out of bed is more effective for morning sickness.