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 significant risk factor for pre-eclampsia due to the increased strain on the cardiovascular system and potential inflammatory effects. It can lead to hypertension and vascular dysfunction, contributing to the development of pre-eclampsia. White race (A) is not a specific risk factor for pre-eclampsia. Multiparity (B) is a risk factor, but obesity has a higher association with pre-eclampsia. Infertility (D) is not a known risk factor for pre-eclampsia. In summary, obesity poses the highest risk due to its direct impact on cardiovascular health and inflammation.
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 showing protein of 3+ indicates significant proteinuria, a sign of preeclampsia in pregnancy. Preeclampsia can lead to serious complications for both the mother and the baby, such as eclampsia and fetal growth restriction. The nurse should further assess the client's blood pressure, perform additional tests for preeclampsia, and closely monitor the client's condition. Choice A: Hemoglobin and hematocrit levels are within normal range for pregnancy and do not require immediate intervention. Choice B: Blood pressure of 130/80 is slightly elevated but not concerning at this gestational age. Close monitoring is recommended. Choice C: Slight pedal swelling is common in pregnancy due to fluid retention and usually does not indicate a serious issue.
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 blood sugar control and ketosis. Glucose in urine indicates hyperglycemia, and ketones indicate inadequate insulin and potential ketoacidosis. Monitoring edema (choice A) is not specific to gestational diabetes. Blood pressure, pulse, and respiration (choice B) are important but not specific to gestational diabetes. Monitoring hemoglobin and hematocrit (choice D) does not directly reflect blood sugar control in gestational diabetes.
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: The correct answer is A (Blood pressure of 155/95) because an elevated blood pressure indicates worsening pre-eclampsia. In pre-eclampsia, high blood pressure is a key indicator of worsening condition, potentially leading to eclampsia or seizures if left untreated. Choices B (Urinary output is greater than 30 mL/hr), C (Deep tendon reflexes +2), and D (Client complains of blurred vision) are not indicative of worsening pre-eclampsia. Increased urinary output, normal deep tendon reflexes, and blurred vision are common symptoms in pre-eclampsia, but they do not necessarily signify worsening of the 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: The correct answer is A: Changing cat litter. Chorioamnionitis is an infection of the amniotic fluid and membranes. Changing cat litter exposes the woman to toxoplasmosis, a risk factor for chorioamnionitis. Choices B, C, and D are incorrect. Vaginal exams during labor can introduce bacteria but are not a direct risk factor. Gestational diabetes is unrelated, and preterm premature rupture of membranes can increase infection risk but is not a direct cause like exposure to toxoplasmosis.