ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
The nurse is discussing with the patient what laboratory tests are performed at the first prenatal visit. What tests for sexually transmitted infections does the nurse include in the discussion? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: VDRL. At the first prenatal visit, screening for syphilis is essential to prevent adverse outcomes. VDRL is a standard test for syphilis. GBS (Group B Streptococcus) testing is typically done later in pregnancy to prevent neonatal infection. Chlamydia culture is important but not typically done at the first visit; it is usually part of routine prenatal care. Hepatitis B testing is crucial during pregnancy but not specifically for sexually transmitted infections.
Question 2 of 5
A nurse is providing prenatal education to a patient who is 8 weeks pregnant. The nurse informs the patient that the developing fetus is most vulnerable to teratogens during what trimester of pregnancy?
Correct Answer: A
Rationale: The correct answer is A (first trimester). During the first trimester (weeks 1-12), the developing fetus is most vulnerable to teratogens as major organs are forming. Exposure to teratogens during this critical period can lead to severe birth defects. In contrast, the second trimester (weeks 13-26) is a period of rapid growth and development, but most major organs have already formed. The third trimester (weeks 27-birth) focuses on further growth and maturation, with reduced risk of teratogen-related birth defects. The fourth trimester is not a valid option as pregnancy only consists of three trimesters.
Question 3 of 5
A pregnant patient asks the prenatal nurse how much physical activity is safe during pregnancy. What is an acceptable response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the level of activity prior to pregnancy is a good indicator of the safe activity level during pregnancy. This is because pregnant women are generally encouraged to continue their pre-pregnancy level of exercise, adjusting as needed based on individual circumstances. A is incorrect because decreasing physical activity may lead to more physical discomfort and emotional symptoms. B is incorrect as increasing physical activity can be beneficial if done safely. C is incorrect because hygiene and household tasks alone may not provide sufficient physical activity during pregnancy.
Question 4 of 5
The nurse receives a phone call from a patient concerned about the results of the laboratory tests obtained at the first prenatal visit 10 days ago. What is the nurse's next action?
Correct Answer: D
Rationale: The correct answer is D: verify the identification of the patient. This is crucial to ensure patient safety and confidentiality. By verifying the patient's identity, the nurse can confirm they are providing the correct information to the right person, preventing potential errors or breaches of confidentiality. Asking about the electronic chart (A) is unnecessary if the identity is not confirmed. Informing the patient to wait (B) does not address the immediate concern. Providing results (C) without proper identification can lead to miscommunication. Hence, verifying the patient's identification is the first step to address the patient's concerns effectively.
Question 5 of 5
What assessments or tests would the nurse inform the pregnant patient they can expect to have at each prenatal visit?
Correct Answer: D
Rationale: The correct answer is D: blood pressure. Monitoring blood pressure is essential during prenatal visits to detect any signs of preeclampsia or high blood pressure, which can be harmful to both the mother and baby. Regular blood pressure checks help ensure the health and well-being of the pregnant patient. Rationale: - A: Hemoglobin levels are typically checked to assess for anemia, but this may not be done at every prenatal visit unless there are specific concerns. - B: Antibody screen is usually done early in pregnancy to check for antibodies that could affect the baby, but it may not be part of routine prenatal visits. - C: Ultrasound is an important test during pregnancy, but it is not typically done at every prenatal visit unless there are specific concerns or for routine screening. Summary: Regular monitoring of blood pressure is crucial during prenatal visits to ensure the well-being of the pregnant patient. Hemoglobin, antibody screen, and ultrasound may not be done at every visit unless there are