ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida. A: Multigravida refers to a woman who has been pregnant two or more times. B: Multipara refers to a woman who has given birth two or more times. C: Nullipara refers to a woman who has never given birth. Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.
Question 2 of 5
Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?
Correct Answer: D
Rationale: The correct answer is D because relaxing in a hot tub for 30 minutes a day, several days a week can increase the body temperature, which is harmful during the first trimester and can lead to birth defects. Choice A is not a risk factor as it promotes a healthy sexual relationship. Choice B is beneficial as moderate exercise is recommended during pregnancy. Choice C is not necessarily a risk factor unless it involves exposure to harmful substances or excessive stress.
Question 3 of 5
A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?
Correct Answer: C
Rationale: Rationale: C is correct because when a patient with an IUD in place has a positive pregnancy test, the IUD should be removed to avoid complications such as ectopic pregnancy, miscarriage, or infection. Leaving the IUD in place can increase the risk of adverse outcomes for both the mother and the fetus. Removing the IUD allows for safer management of the pregnancy and reduces potential harm. Summary: A: Incorrect. Fetal damage is not inevitable, and a therapeutic abortion is not the immediate action required in this situation. B: Incorrect. Hormonal analyses are not the priority when a positive pregnancy test with an IUD in place is detected. D: Incorrect. Leaving the IUD in place can lead to complications and is not the recommended course of action.
Question 4 of 5
The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
Correct Answer: B
Rationale: The correct answer is B (2 weeks) because for a healthy primigravida at 28 weeks gestation, it is recommended to schedule prenatal visits every 2 weeks during the third trimester. This frequency allows for closer monitoring of both the mother and the baby's well-being as they near the delivery date. Option A (1 week) is too frequent and unnecessary for a healthy pregnancy at this stage. Option C (3 weeks) and Option D (4 weeks) are too far apart and may not provide adequate monitoring and support during the critical final weeks of pregnancy.
Question 5 of 5
Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?
Correct Answer: D
Rationale: The correct answer is D: Dick-Read method. This method emphasizes relaxation and controlled breathing to reduce fear and pain during childbirth. Slow abdominal breathing in early labor helps maintain calmness, while rapid chest breathing in advanced labor assists in coping with intense contractions. The Dick-Read method's focus on the mind-body connection and natural childbirth aligns with preventing the fear-tension-pain cycle. Summary: A: Bradley method emphasizes partner-coached childbirth. B: Lamaze method focuses on breathing techniques and relaxation. C: Leboyer method emphasizes gentle birthing practices. These choices do not specifically address the fear-tension-pain cycle with the same breathing techniques as the Dick-Read method.