ATI RN
Complications in Early Pregnancy Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for a client with a suspected hydatidiform mole. Based on the diagnosis, what does the nurse anticipate? Select all that apply.
Correct Answer: B
Rationale: Step-by-step rationale: 1. Hydatidiform mole is a type of gestational trophoblastic disease. 2. It results in the abnormal growth of placental tissue instead of a fetus. 3. As there is no fetus, there won't be any fetal heart tones. 4. Therefore, the nurse anticipates absence of fetal heart tones. Summary: A: Dark brown vaginal bleeding is not specific to hydatidiform mole. C: Fundal height larger than expected is not a typical sign of hydatidiform mole. D: Elevated blood pressure is not directly associated with hydatidiform mole.
Question 5 of 5
During an assessment of a client at 32 weeks gestation with a history of congenital ventral septal defect, a nurse notes that the client is experiencing a nonproductive cough on minimal exertion. The nurse knows that this assessment finding may indicate which of the following?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary edema. A nonproductive cough on minimal exertion in a pregnant client with a history of congenital ventral septal defect may indicate pulmonary edema. This condition occurs due to fluid accumulation in the lungs, leading to symptoms like coughing. The increased blood volume and pressure during pregnancy can exacerbate the client's existing heart condition, resulting in pulmonary edema. Orthopnea (choice A) is difficulty breathing when lying flat, not specifically related to coughing. Anemia (choice C) may cause fatigue and weakness but is not typically associated with a nonproductive cough. Decreased blood volume (choice D) would not directly lead to a nonproductive cough on minimal exertion.