ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
The nurse's role in diagnostic testing is to provide which of the following?
Correct Answer: B
Rationale: The correct answer is B: Information about the tests. The nurse's role in diagnostic testing is to educate the couple about the purpose, procedure, risks, and benefits of the tests. This empowers them to make informed decisions. Providing advice (A) may be beyond the nurse's scope. Reassurance about fetal safety (C) is important but not the primary role. While the nurse may assist with decision-making (D), the key focus should be on providing comprehensive information.
Question 2 of 5
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
Correct Answer: C
Rationale: The correct answer is C: Reactive. In a nonstress test, a reactive result is considered normal and indicates a healthy fetus. This is because it shows two or more fetal heart rate accelerations of 15 or more BPM with fetal movement in a 20-minute period, which signifies a responsive and healthy fetal heart rate pattern. The other choices are incorrect because: A: Positive typically indicates a concerning result in medical contexts. B: Negative signifies an abnormal result in this context. D: Nonreactive suggests a lack of desired fetal heart rate accelerations with movement, which is not ideal.
Question 3 of 5
A biophysical profile is performed on a pregnant patient. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. Which answer would be the correct interpretation of this test result?
Correct Answer: B
Rationale: The correct answer is B: A score of 8 would indicate normal results. In a biophysical profile, each component is scored as either 0 or 2, totaling a maximum of 10. In this case, the patient has: 0 for NST, 2 for FBMs, 1 for gross movements, 2 for fetal tone, and 2 for AFI, totaling 7. However, if there are at least 2 episodes of FBMs, this component is given a score of 2. Therefore, the correct total score is 8. This score indicates normal results, as it meets the criteria for a reassuring biophysical profile. Incorrect Choices: A: A score of 10 would indicate that the results are equivocal - This is incorrect as a score of 10 would indicate normal results, not equivocal. C: A score of 6 would indicate that birth should be considered as a possible treatment option - This is incorrect, as a score
Question 4 of 5
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
Correct Answer: B
Rationale: The correct answer is B because a positive contraction stress test (CST) indicates potential fetal distress, requiring immediate medical attention. Contacting the health care provider is necessary to discuss birth options for the patient, such as potential induction or cesarean section to prevent harm to the fetus. A is incorrect because waiting another week could pose risks to the fetus if distress is already present. C is incorrect as sending the patient out for a meal and repeating the test is not a valid or necessary intervention. D is incorrect as a fetal kick count assessment does not address the immediate concerns raised by a positive CST result.
Question 5 of 5
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
Correct Answer: C
Rationale: The correct answer is C: RhoGAM if the patient is Rh-negative. During CVS, there is a risk of maternal-fetal blood mixing, especially if the patient is Rh-negative. RhoGAM is given to prevent sensitization to the Rh factor, which could lead to hemolytic disease in the newborn. Magnesium sulfate (A) is not indicated for CVS. Prostaglandin suppository (B) is used for cervical ripening or induction of labor, not for CVS. Betamethasone (D) is a corticosteroid given to pregnant women at risk of preterm delivery to promote fetal lung maturation, not indicated for CVS.