ATI RN
Antenatal care for complicated pregnancies Questions
Question 1 of 4
What should the nurse recognize as evidence that the patient is recovering from preeclampsia?
Correct Answer: C
Rationale: The correct answer is C: Urine output >100 mL/hour. This signifies improved kidney function, a key indicator of recovery in preeclampsia. Increased urine output indicates better kidney perfusion and reduced risk of complications like renal failure. A: 1+ protein in urine suggests ongoing kidney damage. B: 2+ pitting edema in lower extremities indicates fluid retention, a common symptom of preeclampsia. D: Deep tendon reflexes +2 are not specific to preeclampsia recovery, although hyperreflexia can be seen in severe cases.
Question 2 of 4
Which disease process improves during pregnancy?
Correct Answer: C
Rationale: Pregnancy often leads to an improvement in rheumatoid arthritis due to the immunosuppressive state that occurs to prevent rejection of the fetus. This reduction in immune activity can alleviate symptoms of rheumatoid arthritis. On the other hand, epilepsy, Bell's palsy, and SLE do not typically improve during pregnancy and may even worsen due to hormonal changes and stress on the body. Epilepsy can be challenging to manage during pregnancy, as seizures can potentially harm both the mother and the fetus. Bell's palsy may not improve and could be exacerbated by hormonal changes. SLE is a chronic autoimmune disease that can be unpredictable during pregnancy, with potential flares and complications for both the mother and the fetus.
Question 3 of 4
Anti-infective prophylaxis is indicated for a pregnant patient with a history of mitral valve stenosis related to rheumatic heart disease because the patient is at risk of developing
Correct Answer: C
Rationale: The correct answer is C: bacterial endocarditis. Pregnant patients with mitral valve stenosis are at increased risk for developing bacterial endocarditis due to the presence of abnormal valve structures. This condition can lead to serious complications including septic emboli and heart failure. Hypertension (choice A) is not directly related to mitral valve stenosis. Postpartum infection (choice B) is not a primary concern in this scenario. Upper respiratory infections (choice D) are not specifically associated with mitral valve stenosis. In summary, anti-infective prophylaxis is indicated to prevent bacterial endocarditis in pregnant patients with a history of mitral valve stenosis.
Question 4 of 4
Examination of a newborn in the birth room reveals bilateral cataracts. Which disease process in the maternal history would likely cause this abnormality?
Correct Answer: A
Rationale: The correct answer is A: Rubella. Rubella infection during pregnancy can lead to congenital rubella syndrome, which includes bilateral cataracts in newborns. Rubella virus can cross the placenta and affect the developing fetus, leading to various congenital abnormalities. The other choices, B: CMV, C: Syphilis, and D: HIV, can also cause congenital abnormalities but are not specifically associated with bilateral cataracts in newborns. Rubella is the most likely cause in this scenario based on the clinical presentation.