ATI RN
Possible Complications in Early Pregnancy Questions
Question 1 of 5
The nurse should reply to a pregnant woman experiencing significant nausea and vomiting by stating:
Correct Answer: C
Rationale: The correct answer is C because it is a common occurrence for nausea and vomiting to improve by the beginning of the second trimester of pregnancy. This is due to hormonal changes and adjustments in the body. Option D is not the correct answer as the improvement usually occurs earlier than when the baby starts to move. Option A is not relevant to the situation, and option B is inaccurate as nausea and vomiting typically improve before the third trimester.
Question 2 of 5
When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces. The murmur is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur. The nurse interprets this finding to be:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
When performing an examination of a woman who is 34 weeks pregnant, the nurse notices a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles as the woman raises her head and shoulders off of the bed. Which response by the nurse is correct?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
During the assessment of a woman in her 22nd week of pregnancy, the nurse is unable to hear fetal heart tones with the fetoscope. The nurse should:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. The nurse's next action should be to:
Correct Answer: A
Rationale: The normal fetal heart rate falls between 110 and 160 beats per minute, so the nurse should document the results as within the normal range. There is no indication of fetal distress based on the heart rate provided. Verifying with the maternal pulse or having the patient change positions is unnecessary in this scenario.