ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
The nurse is caring for a client and her partner who just birthed a 33-week fetal demise. Which of the following actions by the nurse is appropriate at this time?
Correct Answer: C
Rationale: In this scenario, the most appropriate action by the nurse is option C: Ask the couple if they would like to hold their baby. This choice demonstrates compassionate and patient-centered care during a highly sensitive and emotionally challenging situation. Allowing the parents the opportunity to hold their baby provides them with a chance to create memories and say goodbye, which can aid in their grieving process and facilitate closure. Option A is incorrect because moving the woman to a medical unit may not address the emotional needs of the couple during this difficult time. Option B is also inappropriate as refraining from discussing the loss with the couple can lead to feelings of isolation and lack of support. Option D is not the priority at this moment as obtaining a milk suppressant for the mother does not address the immediate emotional needs of the couple. Educationally, this question highlights the importance of providing holistic care to patients, especially in emotionally charged situations like perinatal loss. It emphasizes the significance of communication, empathy, and sensitivity in nursing practice, particularly when caring for individuals experiencing grief and loss.
Question 2 of 5
Without doing a vaginal examination, a nurse concludes that a primigravida, who has received no medications during her labor, is in transition. Which of the following signs/symptoms would lead a nurse to that conclusion?
Correct Answer: B
Rationale: In pharmacology, understanding the signs and symptoms of labor progression is crucial for nurses to provide appropriate care during pregnancy. In this scenario, option B is correct because yelling at her partner and vomiting are indicative of the transition phase of labor. During transition, women often exhibit signs of emotional and physical intensity, such as irritability and nausea, which are reflected in this response. Option A, where the woman fell asleep during a contraction, is incorrect because it suggests a lack of awareness and responsiveness, which are not typical of the transition phase. Option C, where the woman laughed at something on the television, is also incorrect as it indicates a relaxed and possibly distracted state, which is not characteristic of transition. Option D, where the woman began pushing with each contraction, is incorrect because pushing typically occurs during the second stage of labor, not during transition. It is important for nurses to recognize the signs of each stage of labor to provide appropriate support and interventions to ensure the well-being of both the mother and the baby.
Question 3 of 5
The mother of a neonate with Down syndrome wishes to breastfeed. Which of the following considerations should the nurse make in relation to the mother’s wishes?
Correct Answer: D
Rationale: The correct answer is option D: "The baby will likely have a weak suck due to congenitally poor muscle tone." In the context of a neonate with Down syndrome, it is important to consider the potential implications of the condition on breastfeeding. Infants with Down syndrome commonly have hypotonia, or low muscle tone, which can affect their ability to suck effectively. This can lead to challenges in latching onto the breast and extracting milk efficiently. Option A is incorrect because while feeding expressed breast milk via a bottle may be an alternative, it does not address the specific issue of weak suck related to Down syndrome. Option B is incorrect as there is no evidence to support the statement that Down syndrome babies consume more calories than unaffected neonates. In fact, individual calorie needs vary based on factors like weight and growth. Option C is incorrect as the weight of the neonatal head is not a primary factor to consider in this scenario. Positioning during breastfeeding is important but is not directly related to the baby having Down syndrome. Educationally, understanding the unique challenges faced by infants with Down syndrome in breastfeeding is crucial for healthcare providers to provide appropriate support and guidance to mothers. By recognizing the potential impact of hypotonia on the infant's ability to suck effectively, nurses can offer tailored strategies to optimize the breastfeeding experience for both the mother and the baby.
Question 4 of 5
The nurse in the obstetrician’s office is caring for four 25-week-gestation prenatal clients who are carrying singleton pregnancies. With which of the following clients should the nurse carefully review the signs and symptoms of preterm labor?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A - the African American, 15 years old, with newly diagnosed gestational diabetes. The reason for this choice is that African American women have a higher risk of preterm birth compared to other ethnic groups. Additionally, gestational diabetes is a risk factor for preterm labor. Therefore, this client requires close monitoring and education on the signs and symptoms of preterm labor. Option B, the Asian American with a history of previous term pregnancies, is less likely to be at high risk for preterm labor based on this information. Option C, the Jewish client who is a working professional, does not have any specific risk factors mentioned that would increase her likelihood of preterm labor. Option D, the Mormon client who recently moved, also does not present any specific risk factors for preterm labor based on the information provided. Educationally, this question highlights the importance of understanding risk factors for preterm labor in prenatal care. It emphasizes the need for individualized care based on factors such as ethnicity, medical history, and social circumstances to provide optimal care for pregnant clients. By reviewing and understanding these risk factors, nurses can better identify clients who may be at higher risk for preterm labor and provide appropriate education and monitoring.
Question 5 of 5
A woman and man have the following genotypes for an autosomal dominant disease: Aa and Aa. If asked, which of the following should the nurse say is the probability of their child having the disease?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) 75% probability. This can be explained through an understanding of the principles of Mendelian genetics. When both parents carry the genotype Aa for an autosomal dominant disease, there are three possible genotypes for their offspring: AA, Aa, and aa. The Punnett square for this cross shows that there is a 25% chance of the child inheriting the disease-causing allele (AA), a 50% chance of being a carrier like the parents (Aa), and a 25% chance of not inheriting the disease allele (aa). Therefore, the probability of the child having the disease is 25% (AA) + 50% (Aa) = 75%. Option A) 25% probability is incorrect because this only represents the chance of the child inheriting two normal alleles (aa), which is not the focus of the question. Option B) 50% probability is incorrect as it overlooks the fact that the disease is autosomal dominant. Option D) 100% probability is incorrect because both parents are carriers, not affected individuals. Understanding genetic principles is crucial in pharmacology as it helps healthcare professionals to assess the risk of inherited diseases in patients and their offspring. This knowledge informs decisions regarding medication use during pregnancy and genetic counseling, ensuring the safety and well-being of both the mother and the child.