ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
What does a birth plan help the parents accomplish?
Correct Answer: D
Rationale: The correct answer is D because a birth plan allows parents to actively participate in planning their birth experience by outlining their preferences and wishes. It helps them communicate their desires to healthcare providers and ensures their preferences are considered during labor and delivery. Choice A is incorrect as avoiding an episiotomy is a specific medical procedure, not the primary purpose of a birth plan. Choice B is incorrect as determining the outcome of birth is not within the control of parents. Choice C is incorrect as assuming complete control of the situation may not be realistic or safe during childbirth.
Question 2 of 5
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?
Correct Answer: A
Rationale: The correct answer is A because relaxation techniques should be practiced not just in quiet settings but also during labor, regardless of the environment. This is important to help manage pain and promote a smoother labor process. Choice B is correct as relaxation can indeed help conserve energy. Choice C is incorrect as oxygenation to the baby is not directly related to the mother's relaxation between contractions. Choice D is also incorrect as relaxation techniques should be practiced specifically during labor as well, not just throughout the pregnancy.
Question 3 of 5
The nurse is determining the G/TPAL of a patient at her first prenatal visit. The patient informs the nurse she delivered a set of twins at 32 weeks of gestation who are now 5 years old, delivered her first child 8 years ago 1 week early, and miscarried at 2 months' gestation 3 years ago. What is this patient's Gravida [G] and Parity [P] using the G/TPAL nomenclature?
Correct Answer: D
Rationale: The correct answer is D: G4 P2113. To determine the Gravida (G) and Parity (P) of the patient: - Gravida (G): The patient has been pregnant a total of 4 times (twins at 32 weeks, first child 1 week early, miscarriage at 2 months, and current pregnancy). Therefore, G is 4. - Parity (P): P is divided into four categories: term births (T), preterm births (P), abortions (A), and living children (L). The patient delivered twins at 32 weeks (P2), her first child 1 week early (T1), and had a miscarriage at 2 months (A1). Therefore, the Parity is P2A1L3, represented as 2113. Other choices are incorrect because they do not accurately reflect the patient's obstetric history.
Question 4 of 5
The nurse is discussing the purpose of the physical examination with a patient at the first prenatal visit. What information does the nurse include in the discussion?
Correct Answer: A
Rationale: The correct answer is A because the physical exam at the first prenatal visit aims to confirm the patient's current health status, assess baseline health indicators, and identify any potential risks or issues that may affect the pregnancy. This information is crucial for developing a personalized care plan for the patient and ensuring a healthy pregnancy outcome. Choice B is incorrect because determining nutritional risk factors typically involves assessing dietary habits, weight, and specific nutrient deficiencies, which are not solely addressed through a physical exam. Choice C is incorrect as confirming the diagnosis of STIs would require specific testing and not solely rely on a physical examination. Choice D is incorrect because while urinalysis may be part of the physical exam, its primary purpose is not solely to include urinalysis but to comprehensively evaluate the patient's overall health.
Question 5 of 5
At the first prenatal visit, the patient informs the nurse that the first day of her last menstrual period (LMP) was February 18, 2024. Using Naegle's Rule, calculate the patient's EDD.
Correct Answer: C
Rationale: The correct answer is C: 25-Nov-24. Naegle's Rule is to add 7 days to the first day of the last menstrual period (LMP), then subtract 3 months, and finally add 1 year. In this case, LMP was February 18, 2024. Adding 7 days gives February 25, 2024. Subtracting 3 months gives November 25, 2024. Adding 1 year gives the estimated due date (EDD) of November 25, 2024. Choices A, B, and D are incorrect because they do not follow the correct calculation steps of Naegle's Rule.