ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
What assessments or tests would the nurse inform the pregnant patient they can expect to have at each prenatal visit?
Correct Answer: D
Rationale: The correct answer is D: blood pressure. Monitoring blood pressure is essential during prenatal visits to detect any signs of preeclampsia or high blood pressure, which can be harmful to both the mother and baby. Regular blood pressure checks help ensure the health and well-being of the pregnant patient. Rationale: - A: Hemoglobin levels are typically checked to assess for anemia, but this may not be done at every prenatal visit unless there are specific concerns. - B: Antibody screen is usually done early in pregnancy to check for antibodies that could affect the baby, but it may not be part of routine prenatal visits. - C: Ultrasound is an important test during pregnancy, but it is not typically done at every prenatal visit unless there are specific concerns or for routine screening. Summary: Regular monitoring of blood pressure is crucial during prenatal visits to ensure the well-being of the pregnant patient. Hemoglobin, antibody screen, and ultrasound may not be done at every visit unless there are
Question 2 of 5
The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?
Correct Answer: D
Rationale: The correct answer is D: breech. At 36 weeks of gestation, if the nurse palpates the fetal head above the symphysis pubis and the fetal legs are at the top of the uterus, it indicates a breech presentation where the baby's buttocks or feet are positioned to be delivered first. In a breech presentation, the fetal head is not engaged in the pelvis and is palpable above the symphysis pubis. The longitudinal lie with the fetal legs on top further supports the breech presentation. Summary: A: Cephalic presentation would have the fetal head engaged in the pelvis. B: Compound presentation involves an additional body part alongside the presenting part. C: Transverse lie would have the baby positioned horizontally across the uterus. D: Breech presentation aligns with the given scenario of palpating fetal legs on top and head above the symphysis pubis.
Question 3 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 4 of 5
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?
Correct Answer: A
Rationale: The correct answer is A: "The test results are within normal limits." A biophysical profile score of 8 is considered normal. A score of 8 out of 10 indicates that the fetus is likely healthy and does not require immediate delivery. The other choices are incorrect because immediate birth by cesarean section is not warranted for a score of 8, further testing is not necessary as the score is normal, and there is no need for an obstetric specialist to evaluate the results urgently. The most appropriate response reassures the patient that the results are normal, providing comfort and clarity.
Question 5 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.