ATI RN
Possible Complications in Early Pregnancy Questions
Question 1 of 5
When examining the face of a woman who is 28 weeks pregnant, the nurse notices the presence of a butterfly-shaped increase in pigmentation on the face. The proper term for this finding in the documentation is:
Correct Answer: B
Rationale: The correct answer is B because chloasma is the medical term for a butterfly-shaped increase in pigmentation on the face. While it is also known as the mask of pregnancy, the nurse should use the correct medical term in documentation. Striae refers to stretch marks, and linea nigra is a hyperpigmented line on the abdomen.
Question 2 of 5
When performing an examination of a woman who is 34 weeks pregnant, the nurse notices a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles as the woman raises her head and shoulders off of the bed. Which response by the nurse is correct?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
During the assessment of a woman in her 22nd week of pregnancy, the nurse is unable to hear fetal heart tones with the fetoscope. The nurse should:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. The nurse's next action should be to:
Correct Answer: A
Rationale: The normal fetal heart rate falls between 110 and 160 beats per minute, so the nurse should document the results as within the normal range. There is no indication of fetal distress based on the heart rate provided. Verifying with the maternal pulse or having the patient change positions is unnecessary in this scenario.
Question 5 of 5
What is the recommended frequency for performing Kegel exercises?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.