ATI RN
Antenatal complications Questions
Question 1 of 5
Which condition is most commonly associated with late decelerations of the fetal heart rate?
Correct Answer: C
Rationale: Late decelerations of the fetal heart rate are most commonly associated with uteroplacental insufficiency. During contractions, there is reduced blood flow to the placenta, leading to hypoxia and acidosis in the fetus, resulting in late decelerations. Head compression (A) typically causes early decelerations. Maternal hypothyroidism (B) does not directly affect fetal heart rate. Umbilical cord compression (D) can cause variable decelerations, not late decelerations. Therefore, the correct answer is C.
Question 2 of 5
Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?
Correct Answer: B
Rationale: The correct technique for an obstetrical client with a foreign body airway obstruction is chest thrusts. This is because back blows, suprapubic thrusts, and abdominal thrusts can potentially harm the fetus. Chest thrusts are safer as they target the area above the uterus, avoiding direct pressure on the abdomen. The forceful thrusts to the chest can help dislodge the foreign body without putting the fetus at risk. It is important to prioritize the safety of both the mother and the unborn child in this situation.
Question 3 of 5
What adverse fetal effect is associated with undernutrition?
Correct Answer: B
Rationale: The correct answer is B: impaired bone development. Undernutrition during pregnancy can lead to inadequate nutrient supply for fetal bone development. Calcium and other minerals are essential for bone growth. Hyperglycemia (A) is associated with maternal diabetes, not undernutrition. Cardiovascular disorders (C) are more commonly linked to maternal obesity. Psychiatric disorders (D) are not directly caused by undernutrition in the fetus. In summary, impaired bone development is the most direct adverse fetal effect of undernutrition.
Question 4 of 5
A patient at 25 weeks' gestation has just been diagnosed with gestational diabetes. What is the most important education for the nurse to provide the patient at this time?
Correct Answer: B
Rationale: The correct answer is B: nutrition. At 25 weeks' gestation with gestational diabetes, nutrition education is crucial to manage blood sugar levels and prevent complications. Proper diet control can help regulate blood glucose levels, ensuring optimal fetal growth and reducing the risk of macrosomia. Educating the patient on a balanced diet, monitoring carbohydrate intake, and understanding the glycemic index are essential. Induction of labor (choice A) is not indicated at this stage and may lead to potential complications. While discussing potential fetal (choice C) and maternal (choice D) complications is important, addressing nutrition takes precedence as it directly impacts the health of both the mother and the fetus.
Question 5 of 5
The nurse is caring for a patient admitted with vaginal bleeding and cramping who delivered a stillborn infant at 22 weeks' gestation. What data in the patient's health history are associated with this complication of pregnancy?
Correct Answer: B
Rationale: The correct answer is B: hypertension times 4 years. Hypertension is a risk factor for complications during pregnancy, such as preterm birth and stillbirth. The patient's history of chronic hypertension increases the likelihood of developing conditions like preeclampsia, which can lead to fetal complications like stillbirth. The other choices (A, C, and D) are not directly associated with the complication of pregnancy described in the scenario. A motor vehicle accident, appendectomy, and nausea do not have a direct causal relationship with the patient's current condition of vaginal bleeding and cramping after delivering a stillborn infant at 22 weeks' gestation.