ATI RN
Complications in Early Pregnancy Questions
Question 1 of 5
Which factor places the client at the highest risk of pre-eclampsia?
Correct Answer: C
Rationale: The correct answer is C: Obesity. Obesity is a major risk factor for pre-eclampsia due to the increased strain on the cardiovascular system, leading to hypertension and other complications during pregnancy. Multiparity (B) is associated with a lower risk of pre-eclampsia, as previous pregnancies can provide some level of protection. Infertility (D) is not a known risk factor for pre-eclampsia. White race (A) is not a definitive risk factor for pre-eclampsia, as it can affect individuals of all races.
Question 2 of 5
The nurse is caring for a client who is at 24 weeks gestation. Which assessment requires further intervention?
Correct Answer: D
Rationale: The correct answer is D because a urine dipstick reading of 3+ for protein indicates significant proteinuria, which can be a sign of preeclampsia in pregnancy. Preeclampsia poses serious risks to both the mother and the fetus, requiring immediate medical intervention. Choice A: Hemoglobin and hematocrit levels within normal range for pregnancy. Choice B: Blood pressure slightly elevated but not concerning at this gestational age. Choice C: Slight pedal swelling is common in pregnancy and may not indicate a serious issue at this time.
Question 3 of 5
The nurse is assessing a client who has been diagnosed with gestational diabetes. Which should the nurse monitor closely because of her diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Urine for glucose and ketones. In gestational diabetes, monitoring urine for glucose and ketones is crucial to assess for hyperglycemia and ketosis, which can indicate poor blood sugar control. This helps in adjusting the treatment plan and preventing complications. A: Edema is not directly related to gestational diabetes and is more commonly associated with conditions like heart failure or kidney disease. B: Monitoring blood pressure, pulse, and respiration is important in general health assessment but not specific to gestational diabetes. D: Hemoglobin and hematocrit levels are important for monitoring anemia, but not directly related to gestational diabetes management.
Question 4 of 5
A nurse has just completed an assessment on a client with mild pre-eclampsia. Which data indicate that her pre-eclampsia is worsening?
Correct Answer: A
Rationale: Correct Answer: A Rationale: A blood pressure of 155/95 indicates hypertension, a key feature of worsening pre-eclampsia. Hypertension in pre-eclampsia can lead to serious complications like eclampsia. High blood pressure can put the client at risk for seizures, stroke, and organ damage. Incorrect choices: B: Urinary output > 30 mL/hr is a positive sign, indicating adequate renal function, which is desirable in pre-eclampsia. C: Deep tendon reflexes +2 are within normal limits and do not necessarily indicate worsening pre-eclampsia. D: Blurred vision is a common symptom of pre-eclampsia but not a definitive sign of worsening condition.
Question 5 of 5
The nurse is caring for a woman who is suspected of having chorioamnionitis. Which of the following are risk factors for chorioamnionitis? Select all that apply.
Correct Answer: A
Rationale: Rationale for correct answer (A): Changing cat litter exposes the woman to Toxoplasma gondii, a parasite associated with chorioamnionitis. It is a known risk factor as the infection can spread to the fetus. Summary of incorrect choices: B (Frequent vaginal examination during labor): This does not directly increase the risk of chorioamnionitis. C (Gestational diabetes): While gestational diabetes can have other complications, it is not a direct risk factor for chorioamnionitis. D (Preterm premature rupture of the membranes): While this can increase the risk of infection, it is not a specific risk factor for chorioamnionitis.