ATI RN
Complications of antenatal care Questions
Question 1 of 5
Which clinical sign would not present as a symptom of preeclampsia?
Correct Answer: C
Rationale: The correct answer is C: Glucosuria. Preeclampsia is characterized by hypertension, proteinuria, and edema. Glucosuria is not a typical symptom of preeclampsia. It indicates the presence of glucose in the urine, which is a sign of diabetes rather than preeclampsia. Therefore, glucosuria would not present as a symptom of preeclampsia. Other choices (A, B, D) are incorrect because they are commonly associated with preeclampsia based on pathophysiology and clinical presentation.
Question 2 of 5
The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to
Correct Answer: B
Rationale: The correct answer is B because assessing fetal heart rate and maternal vital signs is crucial to determine the immediate status of both the mother and the baby. This helps in identifying any signs of distress and guiding further interventions. Monitoring uterine contractions (A) can be important too, but assessing fetal heart rate and maternal vital signs take priority for immediate evaluation. Placing clean disposable pads (C) is helpful for drainage management but not the top priority. Performing a venipuncture for hemoglobin and hematocrit levels (D) is important for assessing blood loss but is not as immediate as assessing fetal heart rate and maternal vital signs.
Question 3 of 5
Which data found on a patient's health history would place her at risk for an ectopic pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Recurrent pelvic infections. Pelvic infections can lead to scarring and inflammation in the fallopian tubes, increasing the risk of ectopic pregnancy. Ovarian cysts and heavy menstrual flow are not directly linked to ectopic pregnancy. Using oral contraceptives actually reduces the risk of ectopic pregnancy by preventing ovulation and thinning the endometrial lining, making it less likely for a fertilized egg to implant outside the uterus.
Question 4 of 5
Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication?
Correct Answer: C
Rationale: The correct answer is C: Normal deep tendon reflexes. This assessment indicates a therapeutic level of magnesium sulfate as it suggests that the medication is effectively preventing magnesium toxicity which would typically present as hyperreflexia or absent reflexes. Drowsiness (A) may indicate magnesium toxicity, urinary output of 20 mL/hour (B) may indicate renal impairment, and a respiratory rate of 10 to 12 breaths per minute (D) may indicate respiratory depression, all of which are signs of magnesium sulfate toxicity rather than therapeutic levels.
Question 5 of 5
A patient with no prenatal care delivers a healthy male infant via the vaginal route, with minimal blood loss. During the labor period, vital signs were normal. At birth, significant maternal hypertension is noted. When the patient is questioned, she relates that there is history of heart disease in her family; but, that she has never been treated for hypertension. Blood pressure is treated in the hospital setting and the patient is discharged. The patient returns at her scheduled 6-week checkup and is found to be hypertensive. Which type of hypertension is the patient is exhibiting?
Correct Answer: D
Rationale: The correct answer is D: Undiagnosed chronic hypertension. The patient's history of significant maternal hypertension at birth and subsequent hypertension at the 6-week checkup indicates that she likely had pre-existing chronic hypertension that went undiagnosed. This type of hypertension can be asymptomatic and may only present during pregnancy or postpartum. Choices A, B, and C all involve hypertension that develops during pregnancy and are typically transient, whereas chronic hypertension persists before and after pregnancy.