ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
The nurse is assessing a client who has been diagnosed with gestational diabetes. Which should the nurse monitor closely because of her diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Urine for glucose and ketones. In gestational diabetes, monitoring urine for glucose and ketones is crucial to assess for hyperglycemia and ketosis, which can indicate poor blood sugar control. This helps in adjusting the treatment plan and preventing complications. A: Edema is not directly related to gestational diabetes and is more commonly associated with conditions like heart failure or kidney disease. B: Monitoring blood pressure, pulse, and respiration is important in general health assessment but not specific to gestational diabetes. D: Hemoglobin and hematocrit levels are important for monitoring anemia, but not directly related to gestational diabetes management.
Question 2 of 5
The nurse is caring for a woman who is suspected of having chorioamnionitis. Which of the following are risk factors for chorioamnionitis? Select all that apply.
Correct Answer: A
Rationale: Rationale for correct answer (A): Changing cat litter exposes the woman to Toxoplasma gondii, a parasite associated with chorioamnionitis. It is a known risk factor as the infection can spread to the fetus. Summary of incorrect choices: B (Frequent vaginal examination during labor): This does not directly increase the risk of chorioamnionitis. C (Gestational diabetes): While gestational diabetes can have other complications, it is not a direct risk factor for chorioamnionitis. D (Preterm premature rupture of the membranes): While this can increase the risk of infection, it is not a specific risk factor for chorioamnionitis.
Question 3 of 5
The nurse is monitoring a woman with signs and symptoms of preterm labor. Which does the nurse include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Need to refrain from putting any objects in the vagina. This is important to prevent irritating the cervix and potentially triggering preterm labor. Putting objects in the vagina can introduce bacteria, leading to infection, which can increase the risk of preterm labor. Option A is important for monitoring fetal well-being but not directly related to preventing preterm labor. Option C is not relevant to preterm labor. Option D is incorrect as hydration is important in preventing preterm labor.
Question 4 of 5
The nurse is providing discharge instructions to a 28-year-old client who received methotrexate for an ectopic pregnancy. Which should the discharge instructions include?
Correct Answer: C
Rationale: The correct answer is C: Flush the toilet twice after she urinates for the next 24 hours. Methotrexate is excreted in urine and can be harmful if it comes into contact with others. Flushing the toilet twice helps to minimize the risk of exposure to others. Choice A is incorrect because although folic acid supplementation may be necessary with methotrexate, it is not the priority in this scenario. Choice B is incorrect as the client should be advised to seek immediate medical attention if any concerning symptoms occur, rather than waiting for 6 weeks. Choice D is incorrect as the client needs to avoid certain activities for a period of time after receiving methotrexate to prevent complications.
Question 5 of 5
A nurse is caring for a client who is 32 weeks gestation who comes to the emergency department for painful bleeding. Which is the priority nursing assessment?
Correct Answer: C
Rationale: The correct priority nursing assessment in this scenario is to assess for hemorrhage (Choice C). This is crucial because painful bleeding in a client at 32 weeks gestation could indicate a potential life-threatening situation such as placental abruption or placenta previa. Assessing for hemorrhage involves checking the amount and type of bleeding, vital signs, and signs of shock. It is essential to identify and address hemorrhage promptly to prevent adverse outcomes for both the mother and the baby. Monitoring for contractions (Choice A) is important but assessing for hemorrhage takes precedence due to the immediate risk it poses. Assessing the pain level (Choice B) is secondary to assessing for hemorrhage in this case. Providing emotional support (Choice D) is important but should come after ensuring the client's physical well-being is addressed.