ATI RN
Antenatal and postnatal complications Questions
Question 1 of 4
The labor and birth nurse is reviewing the risk factors for placenta previa with a group of nursing students. The nurse determines that the students understood the discussion when they identify which patient being at the highest risk for developing a placenta previa?
Correct Answer: C
Rationale: The correct answer is C: Male fetus, African-American, previous cesarean birth. Placenta previa occurs when the placenta partially or completely covers the cervix. African-American women have a higher incidence of placenta previa. Previous cesarean birth is a risk factor due to possible scarring on the uterine wall, increasing the likelihood of placenta implantation issues. Male fetuses are associated with a higher risk of placenta previa, possibly due to a larger placental size. The other choices do not align with known risk factors for placenta previa, such as the ethnicity, fetal gender, and obstetric history mentioned.
Question 2 of 4
Which instructions should the nurse include when teaching a pregnant patient with Class II heart disease?
Correct Answer: B
Rationale: The correct answer is B: Instruct her to avoid strenuous activity. For a pregnant patient with Class II heart disease, avoiding strenuous activity is crucial to prevent excessive strain on the heart. Strenuous activities can lead to increased heart rate and blood pressure, which can worsen the heart condition. Advising her to gain at least 30 lb (choice A) may put additional strain on the heart. Limiting fluid intake (choice C) can lead to dehydration, affecting blood volume and circulation. A diet high in calcium (choice D) is beneficial for overall health but is not specifically related to managing Class II heart disease during pregnancy.
Question 3 of 4
A patient has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
Correct Answer: B
Rationale: The correct answer is B because it shows understanding that a positive HIV test in the mother doesn't guarantee transmission to the baby. This reflects knowledge of the possibility of preventing mother-to-child transmission with proper medical care. Option A is incorrect as abortion is not the standard recommendation for HIV-positive pregnant women. Option C is incorrect as not all babies born to HIV-positive mothers will have AIDS or die within the first year. Option D is incorrect as pregnancy does not decrease the mother's chance of developing AIDS.
Question 4 of 4
The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse"™s next action?
Correct Answer: A
Rationale: The correct answer is A: Ask the patient when she last had anything to eat or drink. This is the correct action because the patient is in active labor with genital herpes lesions. Knowing the last time the patient had anything to eat or drink is essential in case an emergency cesarean section is needed, as the patient may need to be NPO. Option B: Taking a culture of the lesions is not the immediate priority as the patient is in active labor and the presence of lesions is already confirmed. Option C: Asking about unprotected sex is important for history taking but not the immediate next action in this scenario. Option D: Using electronic fetal surveillance is also important, but the priority in this case is assessing the patient's fasting status for potential emergency procedures.