ATI RN
Fetal Development Questions Questions
Question 1 of 5
The nurse is reviewing the schedule for the OB/GYN she works for. In reviewing a patient’s chart, the nurse notes the patient is 32 weeks pregnant, has hypertension, and had a previous fetal death. What test does the nurse anticipate the provider will order?
Correct Answer: C
Rationale: The correct answer is C: nonstress test. A nonstress test is used to assess fetal well-being by monitoring the baby's heart rate in response to its own movements. In this case, the patient's history of hypertension and previous fetal death indicate a higher risk pregnancy, making it important to monitor the baby's well-being. A contraction stress test (choice A) is not suitable for a patient with hypertension as it can induce contractions and potentially harm the baby. An amniotic fluid index (choice B) is used to evaluate amniotic fluid levels and is not specific to this patient's situation. Fetal movement count (choice D) assesses the baby's movements but does not provide real-time information on fetal well-being like a nonstress test does.
Question 2 of 5
The nurse is providing care to a pregnant person at 32 weeks’ gestation. The nurse expects to observe what change in the pregnant person’s spine?
Correct Answer: D
Rationale: The correct answer is D: lordosis. At 32 weeks' gestation, the pregnant person's center of gravity shifts forward, causing an increased lumbar lordosis to compensate. This change helps maintain balance and support the growing uterus. Sclerosis (choice A) refers to hardening of tissues, not a typical change in the spine during pregnancy. Scoliosis (choice B) is a lateral curvature of the spine, not typically related to pregnancy. Kyphosis (choice C) is an exaggerated outward curve in the upper spine, not a common change in pregnancy.
Question 3 of 5
The nurse is providing education to a pregnant person regarding the nausea and vomiting of pregnancy. Identify the relief measures the nurse would discuss. Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: avoid dairy products. This is because dairy products can exacerbate nausea in some pregnant individuals due to their high fat content. Avoiding dairy products can help reduce nausea symptoms. Rationale: 1. Avoiding dairy products: High fat content in dairy products can trigger nausea in some pregnant individuals. 2. Avoid strong odors: While strong odors can trigger nausea, it is not a specific relief measure for nausea and vomiting of pregnancy. 3. Drink fluids between meals: Staying hydrated is important, but drinking fluids between meals is not a specific relief measure for nausea and vomiting of pregnancy. 4. Drink sweet fluids: While some pregnant individuals find relief from nausea by consuming sweet fluids, it is not a universal recommendation and may not work for everyone.
Question 4 of 5
At 16 weeks of gestation a pregnant person states, 'The most dangerous time is the first 3 months, so I shouldn’t have to worry from now on about any dangers to the baby.' What is the nurse's most appropriate response?
Correct Answer: A
Rationale: The correct answer is A because teratogens, substances that can harm the developing fetus, can have negative effects on the baby at any point during pregnancy, not just in the first trimester. The nurse's response should educate the pregnant person about the ongoing risks and the importance of avoiding harmful substances throughout pregnancy. Option B is incorrect because an ultrasound is not used to assess the risk of teratogens. Option C is incorrect as it provides incorrect information that the risk is past, which is not true. Option D is incorrect as it is judgmental and does not address the pregnant person's misconception about the risks throughout pregnancy.
Question 5 of 5
Why do infants born at 25 weeks' gestation have a poor survival rate?
Correct Answer: B
Rationale: The correct answer is B because infants born at 25 weeks' gestation have a poor survival rate due to insufficient numbers of fetal lung alveoli. This leads to respiratory distress and difficulty in oxygen exchange, impacting their chances of survival. Choice A is incorrect as cardiac development is not the primary factor affecting survival. Choice C is incorrect as gastrointestinal development does not directly impact survival at this stage. Choice D is incorrect as the sucking reflex is not a critical factor in survival compared to respiratory function.