ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client being monitored for oligohydramnios. The NST is nonreactive. Which findings correlate with these results?
Correct Answer: A
Rationale: Step 1: Oligohydramnios indicates decreased amniotic fluid, which can lead to fetal hypoxia. Step 2: Nonreactive NST suggests lack of appropriate fetal heart rate accelerations in response to fetal movement. Step 3: Less than 2 accelerations in 20-40 minutes is consistent with nonreactive NST due to decreased fetal movement. Step 4: Choice A is correct as it reflects the expected findings in a nonreactive NST scenario. Summary: - Choice B: The criteria for accelerations are too high for a nonreactive NST. - Choice C: The criteria for accelerations are too low for a nonreactive NST. - Choice D: Four accelerations in the given time frame do not correlate with a nonreactive NST.
Question 2 of 5
The nurse is caring for a 45-year-old client who is scheduled to have a chorionic villus sampling. Which information is most important for the nurse to obtain from the client before the procedure?
Correct Answer: D
Rationale: The correct answer is D: Maternal bleeding disorders. This information is crucial before a chorionic villus sampling to assess the risk of excessive bleeding during the procedure due to potential clotting issues. Maternal bleeding disorders can increase the risk of complications during the procedure. A: NPO status is not as critical for this procedure as it does not typically require fasting. B: Blood type and Rh are important for other purposes but not specifically needed before a chorionic villus sampling. C: Weeks of gestation is important for determining the timing of the procedure but does not directly impact the safety or success of the procedure.
Question 3 of 5
The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.
Correct Answer: A
Rationale: Correct Answer: A - Rupture of membranes Rationale: 1. Rupture of membranes is necessary for the insertion of intrauterine pressure catheter and fetal spiral electrode. 2. It allows safe passage of the catheter and electrode into the uterus. 3. Without ruptured membranes, there is a risk of infection and difficulty in inserting the devices. Summary: - Choice B (Dilated cervix) is not required for the insertion of these devices. - Choice C (Vertex fetus) is not a factor in the insertion process. - Choice D (Moderate variability) is related to fetal heart rate monitoring, not device insertion.
Question 4 of 5
Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?
Correct Answer: D
Rationale: The correct answer is D because Tums or Rolaids are safe antacids commonly recommended for heartburn during pregnancy. They help neutralize stomach acid and provide relief. Choice A is incorrect as drinking fluids before bedtime can aggravate heartburn. Choice B is incorrect because it's important to eat small, frequent meals to prevent heartburn. Choice C is incorrect as coffee and orange juice can trigger heartburn due to their acidity. Overall, using antacids under healthcare provider guidance is the best option for managing heartburn during pregnancy.
Question 5 of 5
Which advice to the patient is one of the most effective methods for preventing venous stasis?
Correct Answer: B
Rationale: The correct answer is B: Rest often with the feet elevated. Elevating the feet helps to promote venous blood flow back to the heart, reducing the risk of venous stasis. When the legs are elevated, gravity assists in returning the blood to the heart. Sitting with the legs crossed (choice A) can actually impede blood flow. Sleeping with the foot of the bed elevated (choice C) may not be as effective as regularly elevating the feet throughout the day. Wearing elastic stockings in the afternoon (choice D) can provide some support but may not be as effective as elevating the feet.