ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
The nurse is teaching a patient at 28 weeks of gestation how to perform fetal movement counts. What statement by the patient indicates the patient understands teaching?
Correct Answer: C
Rationale: The correct answer is C because it accurately reflects the recommended protocol for fetal movement counts. By counting fetal movements over a 2-hour period and contacting the midwife if fewer than 10 movements are felt, the patient demonstrates understanding of the importance of monitoring fetal well-being. This approach aligns with the standard practice of assessing fetal activity as a crucial indicator of fetal health. Choice A is incorrect because counting for 1 hour may not provide a comprehensive assessment. Choice B is incorrect as it suggests delaying monitoring, which could be dangerous if there are concerns about fetal movement. Choice D is incorrect as it implies stopping the count prematurely, potentially missing crucial information about the baby's activity level.
Question 2 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 3 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 4 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.
Question 5 of 5
Which factors should be considered a contraindication for transcervical chorionic villus sampling?
Correct Answer: D
Rationale: The correct answer is D because being positive for group B Streptococcus can increase the risk of infection during transcervical chorionic villus sampling, making it a contraindication. Rh-negative mother (A) and maternal age younger than 35 years (C) are not contraindications. Gestation less than 15 weeks (B) is not a strict contraindication but may affect the accuracy of the procedure.