ATI RN
Antenatal complications Questions
Question 1 of 5
Which factor will increase the risk for hypotonic uterine dystocia in a postpartum client?
Correct Answer: A
Rationale: The correct answer is A: Twin gestation. In twin gestation, there is an increased risk of hypotonic uterine dystocia due to the higher likelihood of uterine overdistention. This can lead to decreased uterine muscle tone and ineffective contractions, resulting in difficulty in the progress of labor. Summary: B: Gestational anemia does not directly increase the risk for hypotonic uterine dystocia. C: Hypertonic contractions are associated with hyperactivity of the uterus, not hypotonic uterine dystocia. D: Gestational hypertension may lead to other complications but is not directly related to hypotonic uterine dystocia in a postpartum client.
Question 2 of 5
The nurse admits a client with preeclampsia to the high-risk prenatal unit. Which is the next nursing action after the vital signs have been obtained?
Correct Answer: B
Rationale: The correct answer is B: Checking the client's reflexes. This is important in assessing for signs of worsening preeclampsia, such as hyperreflexia. It helps determine the severity of the condition and guides further interventions. Calling the primary health care provider (A) may be necessary but not the immediate next step. Determining the client's blood type (C) is important but not urgent in this situation. Establishing an IV line (D) is important for treatment but assessing reflexes takes priority in preeclampsia management.
Question 3 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 4 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 5 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.