ATI RN
Complications of antenatal care Questions
Question 1 of 4
For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to
Correct Answer: A
Rationale: The correct answer is A: 6:30 AM on January 13. RhoGAM should be administered within 72 hours after delivery to prevent Rh isoimmunization. Since the patient delivered at 6:30 AM on January 10, the administration should be done before 6:30 AM on January 13 to ensure it falls within the 72-hour window. Choices B, C, and D fall outside this critical timeframe and would not be appropriate for administering RhoGAM.
Question 2 of 4
Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Mitral valve prolapse. Mitral valve prolapse is a common condition in women of childbearing years and usually has a benign effect on pregnancy due to its typically mild symptoms and low risk of complications. The mitral valve leaflets bulging back into the left atrium during systole do not typically interfere with pregnancy. On the other hand, choices A, C, and D (Cardiomyopathy, Rheumatic heart disease, and Congenital heart disease) are more likely to have serious implications for pregnancy due to the potential for heart failure, arrhythmias, or other complications that can impact both the mother and the fetus.
Question 3 of 4
A patient has a history of drug use and is screened for hepatitis B during the first trimester. Which action is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Plan for retesting during the third trimester. This is because screening for hepatitis B in the first trimester may not accurately reflect the patient's current status. Retesting in the third trimester ensures an updated result closer to delivery, allowing for appropriate interventions if needed. A: Practice respiratory isolation is incorrect because hepatitis B is transmitted through blood and bodily fluids, not through respiratory droplets. C: Discuss the recommendation to bottle feed her baby is incorrect as breastfeeding is not contraindicated in mothers with hepatitis B. D: Anticipate administering the vaccination for hepatitis B as soon as possible is incorrect as vaccination is not the immediate next step after screening; retesting and further evaluation are necessary before deciding on vaccination.
Question 4 of 4
The nurse is reviewing the instructions given to a patient at 24 weeks"™ gestation for a glucose challenge test (GCT). The nurse determines that the patient understands the teaching when she makes which statement?
Correct Answer: C
Rationale: The correct answer is C because during a glucose challenge test (GCT), blood is drawn at 1 hour after drinking the glucose solution to measure blood glucose levels. This timing is crucial for diagnosing gestational diabetes. Choice A is incorrect because fasting is not required for a GCT. Choice B is incorrect as the standard glucose solution contains 50 g, not 100 g, of glucose. Choice D is not relevant to the GCT procedure.