ATI RN
Complications of antenatal care Questions
Question 1 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 2 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.
Question 3 of 5
What is the priority nursing intervention for the patient who has had an incomplete abortion?
Correct Answer: C
Rationale: The priority nursing intervention for a patient with incomplete abortion is to ensure fluid replacement by inserting an IV line (Choice C). This is crucial to address potential hypovolemia and prevent further complications. Providing medication (Choice A) or positioning the patient (Choice D) is important but not as immediate as ensuring fluid replacement. Preoperative teaching (Choice B) is not necessary until the patient is stable.
Question 4 of 5
Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Administration of methotrexate. This is the priority intervention for a patient with an intact tubal pregnancy as it helps to stop the growth of the pregnancy tissue in the fallopian tube, reducing the risk of rupture and potentially saving the patient's life. Administering methotrexate promptly is crucial in managing tubal pregnancies. Assessing pain level (choice A) is important but not the priority in this case. Administration of Rh immune globulin (choice C) is not necessary for an intact tubal pregnancy. Explanation of common side effects (choice D) can be done after the priority intervention.
Question 5 of 5
For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to
Correct Answer: A
Rationale: The correct answer is A: 6:30 AM on January 13. RhoGAM should be administered within 72 hours after delivery to prevent Rh isoimmunization. Since the patient delivered at 6:30 AM on January 10, the administration should be done before 6:30 AM on January 13 to ensure it falls within the 72-hour window. Choices B, C, and D fall outside this critical timeframe and would not be appropriate for administering RhoGAM.