ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?
Correct Answer: A
Rationale: In obstetrics, the notation G6 P3214 refers to the woman's gravidity (total number of pregnancies) and parity (outcomes of those pregnancies). In this case, G6 means the woman has been pregnant 6 times, P3214 means she has had 3 full-term deliveries, 2 preterm deliveries, 1 abortion, and 4 living children. Option A is correct because it aligns with the notation G6 P3214. The woman is currently pregnant (G6), and she has 3 living children (P3). Option B is incorrect because it states the woman had 2 full-term pregnancies, which does not match the parity described in P3214. Option C is incorrect as it mentions 4 preterm babies, which is not consistent with the provided parity information. Option D is incorrect as it mentions 1 abortion, whereas the given parity includes 1 abortion along with other outcomes. Understanding gravidity and parity is crucial in obstetric care to assess a woman's reproductive history accurately, guide prenatal care, and anticipate potential risks in high-risk pregnancies. This knowledge is essential for nurses and other healthcare providers caring for pregnant women.
Question 2 of 5
A 1-week-postpartum client calls her obstetrician’s office and states, 'I am a breastfeeding mother and my nipples are cracked and bleeding.' Which of the following comments by the nurse is appropriate at this time?
Correct Answer: D
Rationale: The correct answer is option D: "Lanolin cream applied after each feeding will help you to heal." This option is correct because lanolin cream is a safe and effective treatment for cracked and bleeding nipples in breastfeeding mothers. Lanolin helps to soothe and moisturize the skin, promoting healing without the need to interrupt breastfeeding. Option A is incorrect because while it is important for the client to be seen by a healthcare provider, it is not necessary to do so immediately in this case as the issue can be managed at home. Option B is incorrect as there is no need for the mother to pump and dump her milk for a week due to the presence of blood. Breast milk is still safe for the baby to consume even if the mother's nipples are bleeding. Option C is incorrect because using hydrogen peroxide on the nipples can be too harsh and drying, potentially causing further irritation and delaying healing. In an educational context, it is crucial for nurses and healthcare providers to have a good understanding of common issues faced by breastfeeding mothers and appropriate interventions to support them. Providing accurate information and guidance can help mothers overcome challenges and continue breastfeeding successfully.
Question 3 of 5
A nurse should monitor a client who is postpartum from a forceps delivery for which of the following complications?
Correct Answer: D
Rationale: In a postpartum client following a forceps delivery, monitoring for infection is crucial due to the increased risk of developing infections such as endometritis or wound infections. This risk is higher in forceps deliveries due to the potential tissue trauma associated with the use of forceps during delivery. Option A, placental abruption, is not typically a complication of forceps delivery but rather a risk during pregnancy or labor itself. Option B, seizure, may be related to conditions like eclampsia but is not directly associated with forceps delivery. Option C, idiopathic thrombocytopenia, is not a common complication following forceps delivery. Understanding the specific risks and complications associated with different modes of delivery is essential for nurses caring for postpartum clients. By monitoring for signs of infection, nurses can promptly intervene and provide appropriate treatment, promoting optimal recovery and outcomes for the mother.
Question 4 of 5
A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?
Correct Answer: C
Rationale: In this scenario, option C, "The baby's lower lip is curled under," indicates that the baby is poorly latched. This is because a proper latch involves the baby taking in a good portion of the areola along with the nipple, ensuring effective milk transfer and preventing nipple soreness or damage. When the baby's lower lip is curled under, it may result in shallow latch, leading to ineffective feeding and potential issues for both the baby and the mother. Option A, "The baby swallows after every suckle," is incorrect because swallowing after every suckle is a positive sign of effective breastfeeding and milk transfer. Option B, "The baby's body is facing the mother's body," is also incorrect as proper positioning involves the baby facing the breast directly for a good latch. Option D, "The baby is lying at the level of the mother's breasts," is not directly related to latch assessment but rather refers to positioning, which may vary depending on the comfort of the mother and the baby. Educationally, understanding the signs of a good latch is crucial for promoting successful breastfeeding, ensuring adequate nutrition for the newborn, and preventing issues like poor weight gain or nipple pain for the mother. Nurses play a key role in supporting breastfeeding mothers by providing guidance on proper latch techniques and troubleshooting any difficulties that may arise during breastfeeding sessions.
Question 5 of 5
The nurse is working with a pregnant woman who states that she is a vegan. Which of the following actions by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Refer the woman to a nutritionist for diet counseling. This option is appropriate because it acknowledges the unique dietary needs of a vegan pregnant woman and the importance of ensuring she receives adequate nutrition during her pregnancy. Referring her to a nutritionist will provide her with expert guidance on how to maintain a balanced vegan diet that meets her nutritional requirements and supports a healthy pregnancy. Option A is incorrect as it is not necessary for the pregnant woman to consume animal protein if she is following a well-planned vegan diet that includes plant-based sources of protein. Option C is misleading as while cashews and coconut are good sources of certain nutrients, they may not provide all the essential nutrients needed during pregnancy. Option D is incorrect as it assumes the woman is willing to eat eggs and milk, which may not align with her dietary beliefs. In an educational context, it is crucial for nurses to be aware of the diverse dietary preferences of pregnant women and provide individualized care that respects their choices while promoting optimal health outcomes. Referring to a nutritionist ensures that the pregnant woman receives tailored advice that considers her vegan lifestyle and pregnancy needs.