ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?
Correct Answer: D
Rationale: The correct answer is D: breech. At 36 weeks of gestation, if the nurse palpates the fetal head above the symphysis pubis and the fetal legs are at the top of the uterus, it indicates a breech presentation where the baby's buttocks or feet are positioned to be delivered first. In a breech presentation, the fetal head is not engaged in the pelvis and is palpable above the symphysis pubis. The longitudinal lie with the fetal legs on top further supports the breech presentation. Summary: A: Cephalic presentation would have the fetal head engaged in the pelvis. B: Compound presentation involves an additional body part alongside the presenting part. C: Transverse lie would have the baby positioned horizontally across the uterus. D: Breech presentation aligns with the given scenario of palpating fetal legs on top and head above the symphysis pubis.
Question 2 of 5
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?
Correct Answer: A
Rationale: The correct answer is A: "The test results are within normal limits." A biophysical profile score of 8 is considered normal. A score of 8 out of 10 indicates that the fetus is likely healthy and does not require immediate delivery. The other choices are incorrect because immediate birth by cesarean section is not warranted for a score of 8, further testing is not necessary as the score is normal, and there is no need for an obstetric specialist to evaluate the results urgently. The most appropriate response reassures the patient that the results are normal, providing comfort and clarity.
Question 3 of 5
The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?
Correct Answer: A
Rationale: The correct answer is A, maternal diabetes. Maternal diabetes increases the risk of fetal anomalies, so fetal diagnostic procedures may be indicated for early detection. Weight gain, maternal age over 30, and previous infant weight do not necessarily indicate a need for fetal diagnostic procedures. Weight gain and older age are common in pregnancy, while the previous infant's weight alone is not a direct indicator of fetal health.
Question 4 of 5
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?
Correct Answer: C
Rationale: The correct answer is C: A neural tube defect. Elevated AFP levels in maternal serum are indicative of neural tube defects in the fetus. AFP is produced by the fetal liver and yolk sac, and high levels may suggest a defect in the development of the neural tube. Hemophilia (A), sickle cell anemia (B), and abnormal lecithin-to-sphingomyelin ratio (D) do not directly correlate with AFP levels. Hemophilia is a genetic blood disorder, sickle cell anemia is a genetic blood disorder affecting hemoglobin, and abnormal lecithin-to-sphingomyelin ratio is related to fetal lung maturity.
Question 5 of 5
Which aspect of fetal diagnostic testing is most important to expectant parents?
Correct Answer: A
Rationale: The correct answer is A: Safety of the fetus. Expectant parents prioritize the safety of their unborn child above all else. Ensuring that the fetal diagnostic testing is safe for the fetus is crucial in making informed decisions about the pregnancy. Other choices are less important as safety directly impacts the well-being of the fetus, while the duration, cost, and physical discomfort are secondary considerations in comparison.