ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
Correct Answer: B
Rationale: The correct answer is B. An L/S ratio of 2:1 is indicative of fetal lung maturity. This means that the lungs of the fetus are likely mature enough to function outside the womb. In choice B, the patient is 24 years old with diabetes, a condition that can affect fetal lung development, making it crucial to assess lung maturity. Choice A is less likely to have abnormal lung maturity at 38 weeks' gestation. Choice C, a 44-year-old gravida 6, para 5, is more likely to have mature fetal lungs due to multiple pregnancies. Choice D, an 18-year-old in early labor at term, may not necessarily have abnormal lung maturity as she is at term and in labor.
Question 2 of 5
A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?
Correct Answer: C
Rationale: Step 1: The baseline fetal heart rate is 135 bpm, which is within the normal range of 110-160 bpm. Step 2: The four nonepisodic patterns of fetal heart rate reaching 160 bpm for 20-25 seconds each indicate accelerations, a positive sign. Step 3: A reactive NST requires at least two accelerations of the fetal heart rate within a 20-minute window, which this scenario meets. Step 4: Therefore, the nurse will record these findings as NST reactive, reassuring because the fetal heart rate responded appropriately to stimuli. Summary of Other Choices: A: NST positive, nonreassuring - Inaccurate, as the findings indicate a reassuring response. B: NST negative, reassuring - Incorrect, as the test results are actually reactive, not negative. D: NST nonreactive, nonreassuring - Wrong, as the test is reactive and reassuring, not nonreactive and nonreassuring.
Question 3 of 5
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
Correct Answer: C
Rationale: In 1983, Congress established the prospective payment system (PPS), which grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs), each of which provides a fixed reimbursement amount based on assigned DRG, regardless of a patient’s length of stay or use of services.
Question 4 of 5
A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
Correct Answer: C
Rationale: The correct answer is C) Adult children up to age 26 are allowed coverage on the parent’s plan. This provision is a key aspect of the Affordable Care Act (ACA), allowing young adults to remain on their parents' health insurance until the age of 26. This provision helps increase access to healthcare for young adults who may be transitioning into the workforce or pursuing higher education. Option A is incorrect because under the ACA, there are penalties for not having health insurance, so families cannot choose to be uninsured without consequences. Option B is incorrect as Medicaid and Medicare are two separate programs with different payment structures, so their payments do not equal each other. Option D is incorrect as one of the key provisions of the ACA is that private insurance companies cannot deny coverage based on pre-existing conditions, which was a significant change brought about by the ACA. In an educational context, understanding the key provisions of the Affordable Care Act is crucial for healthcare professionals, especially those working with vulnerable populations like pregnant women. By knowing the details of the ACA, nurses can better educate families about their healthcare options and help them make informed decisions regarding their health insurance coverage.
Question 5 of 5
In which type of health care facility does the nurse want to work if applying for a position with a home care organization that specializes in spinal cord injury?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Restorative. When working with a home care organization specializing in spinal cord injury, a nurse would ideally want to work in a restorative health care facility. Restorative care focuses on helping individuals regain their maximum level of function, independence, and quality of life after an injury or illness. Option A) Secondary acute facilities provide care for patients who require short-term treatment for acute conditions but do not specifically focus on restorative care for spinal cord injuries. Option B) Continuing care facilities offer a range of services for individuals who need ongoing care and support but may not specifically target the specialized needs of spinal cord injury patients. Option D) Tertiary care facilities are advanced medical centers that provide specialized consultative care, but they may not offer the comprehensive restorative care approach needed for spinal cord injury patients in a home care setting. Understanding the different levels of care facilities and their specific focuses is crucial for nurses to align their expertise with the needs of the patient population they will be serving, especially in specialized areas like spinal cord injury care.