ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
The nurse is caring for a client who is at 24 weeks gestation. Which assessment requires further intervention?
Correct Answer: D
Rationale: The correct answer is D because a urine dipstick reading of 3+ for protein indicates significant proteinuria, which can be a sign of preeclampsia in pregnancy. Preeclampsia poses serious risks to both the mother and the fetus, requiring immediate medical intervention. Choice A: Hemoglobin and hematocrit levels within normal range for pregnancy. Choice B: Blood pressure slightly elevated but not concerning at this gestational age. Choice C: Slight pedal swelling is common in pregnancy and may not indicate a serious issue at this time.
Question 2 of 5
A nurse has just completed an assessment on a client with mild pre-eclampsia. Which data indicate that her pre-eclampsia is worsening?
Correct Answer: A
Rationale: Correct Answer: A Rationale: A blood pressure of 155/95 indicates hypertension, a key feature of worsening pre-eclampsia. Hypertension in pre-eclampsia can lead to serious complications like eclampsia. High blood pressure can put the client at risk for seizures, stroke, and organ damage. Incorrect choices: B: Urinary output > 30 mL/hr is a positive sign, indicating adequate renal function, which is desirable in pre-eclampsia. C: Deep tendon reflexes +2 are within normal limits and do not necessarily indicate worsening pre-eclampsia. D: Blurred vision is a common symptom of pre-eclampsia but not a definitive sign of worsening condition.
Question 3 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 4 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 5 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.