ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
The nurse is caring for a woman with a history of a previous preterm birth. Based on current knowledge related to cervical incompetency, which should the nurse do?
Correct Answer: C
Rationale: The correct answer is C because progesterone is a recommended treatment for cervical incompetency to prevent preterm birth. Progesterone helps support the uterine lining and decrease the risk of preterm labor. Therefore, discussing the action and side effects of progesterone with the patient is essential. A: While an abdominal ultrasound may provide information about the cervix, it is not the immediate priority in this case. B: Placing the patient on her left side is a common practice for improving blood flow, but it is not directly related to managing cervical incompetency. D: Monitoring blood pressure is important in prenatal care, but it is not specifically related to the management of cervical incompetency in this context.
Question 2 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 3 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 4 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 5 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.