ATI RN
Antenatal and postnatal complications Questions
Question 1 of 5
What is not a complication associated with chronic hypertension during pregnancy?
Correct Answer: B
Rationale: The correct answer is B, gestational diabetes. Chronic hypertension in pregnancy can lead to preeclampsia, fetal growth restriction, and polyhydramnios due to placental dysfunction and impaired blood flow. Gestational diabetes, on the other hand, is a separate condition caused by insulin resistance during pregnancy. It is not directly related to chronic hypertension and its complications. Therefore, gestational diabetes is not a complication associated with chronic hypertension during pregnancy.
Question 2 of 5
A patient at 32 weeks' gestation is diagnosed with polyhydramnios. The patient asks the nurse if polyhydramnios can affect the baby. What is the nurse's response to the patient's question?
Correct Answer: C
Rationale: The correct answer is C: Yes, polyhydramnios increases the risk of a preterm delivery. Polyhydramnios, an excess of amniotic fluid, can lead to uterine overdistension, which may trigger premature labor. The increased pressure from the excess fluid can also cause premature rupture of membranes. This complication can potentially result in a preterm delivery, which carries risks for the baby's health and development. Choices A and B are incorrect because polyhydramnios is not a normal occurrence at the end of pregnancy nor a sign of lung maturity. Choice D is incorrect as umbilical cord compression is a potential complication of polyhydramnios but not the primary risk associated with it.
Question 3 of 5
What virus is highly contagious, spread through airborne particles, and can cause intrauterine fetal demise, skin scarring, eye, limb or neurologic abnormalities, anemia, thrombocytopenia, and low birth weight in the fetus?
Correct Answer: D
Rationale: The correct answer is D: Varicella (chickenpox). Varicella virus is highly contagious and spreads through airborne particles. It can cause intrauterine fetal demise, skin scarring, eye, limb, or neurologic abnormalities, anemia, thrombocytopenia, and low birth weight in the fetus. Varicella infection during pregnancy can lead to severe complications for both the mother and the fetus. Toxoplasmosis (A), syphilis (B), and rubella (C) can also cause complications during pregnancy, but they do not match all the characteristics mentioned in the question.
Question 4 of 5
What is a common sign or symptom of preeclampsia during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: severe headache. A common sign of preeclampsia is a severe headache due to high blood pressure, a hallmark symptom of the condition. Preeclampsia can lead to dangerous complications for both the mother and the baby. Abdominal cramps (A) are not typically associated with preeclampsia. Increased appetite (C) is not a typical symptom and may even decrease due to other factors. Elevated heart rate (D) is not a specific sign of preeclampsia; high blood pressure is the key indicator.
Question 5 of 5
Which intrapartal assessment should be avoided when caring for a patient with HELLP syndrome?
Correct Answer: A
Rationale: Correct Answer: A - Abdominal palpation Rationale: Abdominal palpation can lead to increased risk of placental abruption in patients with HELLP syndrome. This can cause severe hemorrhage and compromise fetal and maternal well-being. Therefore, it should be avoided. Summary of other choices: - B: Venous sample of blood: Necessary for assessing blood parameters in patients with HELLP syndrome. - C: Checking deep tendon reflexes: Important for evaluating neurological status in patients with HELLP syndrome. - D: Auscultation of the heart and lungs: Essential for monitoring cardiovascular and respiratory function in patients with HELLP syndrome.