ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
Which advice to the patient is one of the most effective methods for preventing venous stasis?
Correct Answer: B
Rationale: The correct answer is B: Rest often with the feet elevated. Elevating the feet helps to promote venous blood flow back to the heart, reducing the risk of venous stasis. When the legs are elevated, gravity assists in returning the blood to the heart. Sitting with the legs crossed (choice A) can actually impede blood flow. Sleeping with the foot of the bed elevated (choice C) may not be as effective as regularly elevating the feet throughout the day. Wearing elastic stockings in the afternoon (choice D) can provide some support but may not be as effective as elevating the feet.
Question 2 of 5
A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
Correct Answer: C
Rationale: The correct answer is C. Observation of posture and body mechanics is essential in assessing lower back pain in a pregnant patient to identify any potential causes related to the growing uterus and changes in body mechanics. Palpation of the lumbar spine (Choice A) may provide some information but does not address the underlying issue. Exercise pattern and duration (Choice B) are important but not the priority in this scenario. Ability to sleep for at least 6 hours uninterrupted (Choice D) is not directly related to assessing lower back pain.
Question 3 of 5
A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: "If you are traveling by car, stop to walk every 1 to 2 hours." This is the best advice because it promotes circulation and reduces the risk of blood clots during long car rides. Walking helps prevent stiffness and discomfort. A: "Only travel by car during pregnancy" is incorrect because other modes of transportation can be safe as well. B: "Avoid use of the seat belt during the third trimester" is incorrect as wearing a seat belt is crucial for the safety of both the mother and the baby in case of an accident. C: "You can travel by plane until your 38th week of gestation" is incorrect as most airlines have restrictions on flying after 36 weeks due to the risk of preterm labor.
Question 4 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 5 of 5
Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation.
Correct Answer: D
Rationale: Rationale for Answer D (G5 T1 P1 A2 L2): - G (Gravida): The patient is in her fifth pregnancy - T (Term births): She has had one infant at 38 weeks' gestation - P (Preterm births): She has had one infant at 32 weeks' gestation - A (Abortions): She has had two spontaneous abortions in the first trimester - L (Living children): She has 2 living children Summary of other choices: - A: Incorrect as it states 2 living children, which is not accurate - B: Incorrect as it only accounts for one abortion and one living child - C: Incorrect as it indicates no living children, which is not true based on the given information Therefore, Answer D is the correct option based on the patient's obstetric history.