ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.
Question 2 of 5
The nurse is providing education to a patient at 16 weeks' gestation who is undecided about consenting to the quad screen. How can the nurse explain the purpose of the quad screen to the patient?
Correct Answer: C
Rationale: The correct answer is C because the quad screen is a prenatal screening test that assesses the risk of the fetus for neural tube defects and chromosome abnormalities. At 16 weeks' gestation, this test helps identify potential issues early on, allowing for further diagnostic testing and appropriate interventions if needed. Choice A is incorrect because the quad screen does not specifically target heart defects. Choice B is incorrect as the quad screen does not solely focus on neural tube defects. Choice D is incorrect because the quad screen assesses both neural tube defects and chromosome abnormalities, not just chromosome abnormalities alone. Therefore, choice C is the most comprehensive and accurate explanation of the purpose of the quad screen for the patient at 16 weeks' gestation.
Question 3 of 5
The nurse is measuring the fundal height of a patient who is at 34 weeks of gestation. What fundal height measurement is expected for a patient who is at 34 weeks of gestation?
Correct Answer: C
Rationale: The correct answer is C (37 cm) because at 34 weeks of gestation, the fundal height measurement should be approximately equal to the number of weeks of gestation in centimeters. This is known as the "fundal height equals gestational age" rule. Therefore, at 34 weeks, the expected fundal height measurement should be around 34 cm. Option C (37 cm) is the closest to this expected measurement. Options A, B, and D are incorrect as they do not align with the fundal height expected at 34 weeks of gestation. Option A (31 cm) is too low, Option B (33 cm) is also lower than expected, and Option D (38 cm) is too high for 34 weeks of gestation.
Question 4 of 5
The nurse is discussing pregnancy concerns with a patient in the third trimester of pregnancy. What warning sign should the nurse teach the patient to report immediately to the health-care provider?
Correct Answer: B
Rationale: The correct answer is B: decreased fetal movement. This warning sign is crucial in the third trimester as it could indicate fetal distress or other complications requiring prompt medical attention. Decreased fetal movement can be a sign of potential problems with the baby's health and should not be ignored. Chronic constipation (A), early evening fatigue (C), and loss of appetite (D) are common pregnancy symptoms but are not typically considered urgent warning signs that require immediate reporting to the healthcare provider. It is important for the nurse to emphasize the significance of monitoring fetal movements and seeking medical advice promptly if there is a noticeable decrease.
Question 5 of 5
The nurse is completing the family assessment on a patient at 10 weeks of gestation. What data are included in the family assessment? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: annual income. This data is crucial for assessing the family's financial resources and potential impact on the patient's health and well-being during pregnancy. Annual income can help identify possible financial stressors that may affect access to healthcare, nutrition, and overall prenatal care. B: Total number of cousins is not typically part of a family assessment during pregnancy and does not directly impact the patient's prenatal care. C: Number of people living in the household is important for understanding the household dynamics, but it may not be directly related to the patient's prenatal care needs. D: Identifying the person in the household who makes major decisions is important for understanding family dynamics, but it may not directly impact the patient's prenatal care.