ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?
Correct Answer: C
Rationale: In the context of advanced maternal age monitoring, chorionic villus sampling (CVS) is a prenatal test used to detect genetic abnormalities in the fetus. The correct answer is C) 10 weeks, as this is the earliest interval at which CVS can be safely performed during pregnancy. Performing CVS too early can increase the risk of miscarriage. Option A) 4 weeks is too early for CVS as the placenta and chorionic villi needed for the procedure are not fully developed at this stage. Option B) 8 weeks is also too early for CVS as the procedure requires a sufficient amount of chorionic villi for accurate testing, which may not be available at this stage. Option D) 14 weeks is a later interval than 10 weeks and may delay the availability of important genetic information needed for decision-making during the pregnancy. Educationally, understanding the timing of prenatal tests like CVS is crucial for healthcare providers working with pregnant women, especially those of advanced maternal age who may have an increased risk of genetic abnormalities in their pregnancies. By knowing the appropriate timing for CVS, healthcare providers can ensure the safety and efficacy of the test for their patients.
Question 2 of 5
The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks’ gestation. What sample will be collected for the initial screening process?
Correct Answer: B
Rationale: In the context of advanced maternal age monitoring, the correct sample for the initial screening process of alpha-fetoprotein (AFP) testing at 16 weeks' gestation is option B) Blood. AFP screening is a vital component of prenatal care in assessing the risk of certain fetal abnormalities, particularly neural tube defects. Blood is the appropriate sample for this procedure as AFP is a protein produced by the fetal liver that circulates in the maternal bloodstream. By measuring AFP levels in the maternal blood, healthcare providers can gain valuable insights into the health of the fetus. Option A) Urine is not the correct sample for AFP screening as AFP is not typically detected in urine in a reliable manner for this purpose. Option C) Saliva also does not contain AFP in concentrations suitable for screening purposes. Option D) Amniotic fluid is a more invasive sample collection method and is typically used for diagnostic procedures like amniocentesis, not for initial screening tests like AFP. In an educational context, understanding the rationale behind the choice of sample for specific screening tests like AFP is crucial for nurses and healthcare providers working in maternal health. It enables them to accurately collect and interpret samples, provide appropriate patient education, and offer quality care to pregnant individuals, especially those of advanced maternal age who may have increased risks that necessitate specialized monitoring.
Question 3 of 5
Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following?
Correct Answer: A
Rationale: In the context of pharmacology and maternal health, providing anticipatory guidance to pregnant women is crucial for their well-being. In this scenario, the correct answer is A) Avoid eating greasy foods. Greasy foods can exacerbate nausea and vomiting in pregnant women due to their higher fat content, which can be harder to digest and can trigger gastrointestinal discomfort. By advising the client to avoid greasy foods, the nurse is promoting a dietary recommendation that may help alleviate the common symptoms of nausea and vomiting during pregnancy. Option B) Drink orange juice before rising may not be the most effective recommendation for alleviating nausea and vomiting in pregnant women. While some women may find relief from consuming citrus fruits, others may experience increased symptoms due to the acidity of orange juice. Option C) Consuming 1 teaspoon of nutmeg each morning is not a safe or evidence-based recommendation for managing nausea and vomiting in pregnancy. Nutmeg in large amounts can be toxic and may harm both the mother and the developing fetus. Option D) Eat 3 large meals plus a bedtime snack is not advisable for managing nausea and vomiting during pregnancy. Eating large meals can overwhelm the digestive system and may worsen symptoms. Instead, it is often recommended for pregnant women to eat smaller, more frequent meals throughout the day to help manage symptoms. In an educational context, it is essential for nurses and healthcare providers to understand the rationale behind dietary recommendations for pregnant women to provide safe and evidence-based care. By explaining the effects of different food choices on pregnancy symptoms, nurses can empower women to make informed decisions about their health during this critical time.
Question 4 of 5
A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.
Correct Answer: A
Rationale: In the 10th week of pregnancy, the client may experience a backache due to the growing uterus putting pressure on the lower back and pelvic area. This symptom is common as the body adjusts to the changes of pregnancy. Urinary frequency is more commonly associated with early pregnancy due to hormonal changes and the growing uterus pressing on the bladder, rather than specifically in the 10th week. Dyspnea on exertion, or shortness of breath with activity, typically occurs later in pregnancy as the uterus grows and pushes against the diaphragm. Fatigue is a common symptom in early pregnancy due to hormonal changes and increased metabolic demands, but it is not specific to the 10th week. Educationally, understanding the timing of common pregnancy symptoms is crucial for nurses caring for pregnant clients. This knowledge helps in providing appropriate support and guidance to expectant mothers. By recognizing the expected symptoms at different stages of pregnancy, nurses can offer targeted interventions and reassurance to promote maternal well-being.
Question 5 of 5
A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) An enlarged ovary. Explanation: During early pregnancy, the ovary from which the egg was released (corpus luteum) will enlarge and persist for a while as it continues to support the developing pregnancy by producing progesterone. This physiological process is known as the corpus luteum cyst of pregnancy. Therefore, during a vaginal examination at 6 weeks of pregnancy, the practitioner would expect to find an enlarged ovary due to the presence of the corpus luteum cyst. Why the other options are incorrect: A) Thin cervical muscle: The cervical muscle thickness is not typically a significant finding during a vaginal examination in early pregnancy. C) Thick cervical mucus: While cervical mucus changes consistency throughout the menstrual cycle, thick cervical mucus alone would not be a specific finding at 6 weeks of pregnancy. D) Pale pink vaginal wall: The color of the vaginal wall is not a specific indicator of pregnancy at 6 weeks, and pale pink color is not a characteristic finding related to early pregnancy. Educational Context: Understanding the physiological changes that occur in early pregnancy and their clinical manifestations is crucial for healthcare providers, especially those involved in obstetrics and gynecology. Recognizing the presence of an enlarged ovary due to the corpus luteum cyst is a key aspect of monitoring and assessing early pregnancy development. This knowledge helps practitioners provide appropriate care and support to pregnant individuals, ensuring optimal maternal and fetal outcomes.