ATI RN
Maternal Diseases Questions
Question 1 of 5
The test used to screen for gestational diabetes is the:
Correct Answer: B
Rationale: The correct answer is B) Glucose challenge test. This test is used to screen for gestational diabetes because it involves drinking a sugary solution and then measuring blood sugar levels after a specific amount of time. This helps to determine how well the body processes sugar during pregnancy. Option A) Glycosylated hemoglobin test is not used for screening gestational diabetes. This test measures average blood sugar levels over the past 2-3 months and is more commonly used to monitor long-term control of diabetes. Option C) Oral glucose tolerance test is another test used for diagnosing gestational diabetes, but it is more involved and time-consuming compared to the glucose challenge test. It requires fasting overnight and then drinking a more concentrated sugar solution followed by multiple blood sugar measurements over a few hours. Option D) Postprandial glucose test measures blood sugar levels after a meal and is not the primary test used for screening gestational diabetes. Understanding the differences between these tests is crucial for healthcare providers working with pregnant individuals to ensure timely and accurate screening and diagnosis of gestational diabetes, which is essential for the health of both the mother and the baby.
Question 2 of 5
The pregnant woman who becomes infected with chickenpox should be taught to report promptly:
Correct Answer: A
Rationale: In the context of maternal diseases, it is crucial for pregnant women who become infected with chickenpox to report promptly any signs of respiratory distress, such as cough or dyspnea. This is because chickenpox can lead to pneumonia in pregnant women, posing serious risks to both the mother and the developing fetus. Prompt reporting of respiratory symptoms allows for timely medical intervention to prevent complications. Option A is the correct answer as it directly addresses a potentially life-threatening complication associated with chickenpox in pregnancy. Cough or dyspnea can indicate the development of pneumonia, which requires immediate medical attention. Options B, C, and D are incorrect because severe skin itching, joint pain, and increased urination are not typically associated with the complications of chickenpox in pregnant women. While these symptoms may cause discomfort, they do not pose the same level of threat as respiratory symptoms in this specific scenario. Educationally, this question highlights the importance of recognizing the unique considerations and potential complications of maternal diseases during pregnancy. It emphasizes the significance of early detection and reporting of symptoms to ensure the well-being of both the pregnant woman and her unborn child. This knowledge is vital for healthcare providers and pregnant women to effectively manage maternal diseases and promote positive pregnancy outcomes.
Question 3 of 5
For HIV treatment, the pregnant woman should be expected to receive:
Correct Answer: C
Rationale: In the context of treating HIV in pregnant women, the correct answer is C) Zidovudine. Zidovudine, also known as AZT, is recommended as part of the antiretroviral therapy (ART) regimen for HIV-infected pregnant women to reduce the risk of mother-to-child transmission of the virus. It has been shown to significantly decrease the transmission of HIV from mother to baby during pregnancy, labor, and delivery. Antibiotics (option A) are not typically used as a primary treatment for HIV; they are more commonly prescribed for bacterial infections. Protease analogues (option B) are a type of antiretroviral medication used to treat HIV, but they are not specifically recommended for preventing mother-to-child transmission. Acyclovir (option D) is an antiviral medication used to treat herpes simplex virus infections, not HIV. In an educational context, it is crucial for healthcare providers to understand the specific treatment protocols for managing HIV in pregnant women to ensure the best outcomes for both the mother and the baby. Proper administration of Zidovudine as part of a comprehensive ART regimen can greatly reduce the risk of vertical transmission of HIV and improve the health of both the mother and the child.
Question 4 of 5
A nurse is counseling a preeclamptic client about her diet. Which should the nurse encourage the woman to do?
Correct Answer: C
Rationale: In counseling a preeclamptic client about her diet, it is crucial to encourage her to eat a well-balanced diet, which is the correct answer (Option C). This recommendation is based on the fact that a balanced diet provides essential nutrients necessary for both the mother and the developing fetus. Preeclampsia is a condition characterized by high blood pressure and protein in the urine during pregnancy, and proper nutrition plays a key role in managing this condition. Option A, restricting sodium intake, is not the best choice because while excessive sodium intake can contribute to fluid retention and high blood pressure, complete restriction is not recommended during pregnancy as some sodium is necessary for normal bodily functions. Option B, increasing intake of fluids, is important for overall health, but in the context of preeclampsia, excessive fluid intake may exacerbate fluid retention and swelling. Option D, avoiding simple sugars, is generally a good dietary practice, but it is not the priority when counseling a preeclamptic client. The focus should be on ensuring a well-balanced diet to provide adequate nutrients for both the mother and the baby. In an educational context, it is important for nurses and healthcare providers to have a solid understanding of nutrition recommendations for pregnant women, especially those with conditions like preeclampsia. Providing evidence-based dietary advice can help improve maternal and fetal outcomes and support overall health during pregnancy.
Question 5 of 5
A 24-week-gravid client is being seen in the prenatal clinic. She states, 'I have had a terrible headache for the past 2 days.' Which of the following is the most appropriate action for the nurse to perform next?
Correct Answer: B
Rationale: In this scenario, the most appropriate action for the nurse to perform next would be option B: Take the woman's blood pressure. This choice is correct because a persistent headache in a pregnant woman can be a sign of preeclampsia, a serious condition characterized by high blood pressure. By assessing the client's blood pressure, the nurse can quickly determine if this is the cause of her headache and take appropriate action to ensure the safety of both the mother and the baby. Option A is incorrect because inquiring about allergies is not the priority in this situation where a potentially serious maternal health issue needs to be ruled out. Option C, assessing the woman's fundal height, is also not the most immediate concern when a woman presents with a severe headache. Option D, asking about stressors at work, while important for holistic care, is not as urgent as assessing the blood pressure in this context. Educationally, this question highlights the importance of recognizing and promptly addressing potential signs of complications in pregnant women. It emphasizes the critical role of nurses in conducting timely assessments and interventions to ensure the well-being of both the mother and the developing fetus. This knowledge is essential for healthcare providers working in prenatal care settings to provide safe and effective care to pregnant individuals.