ATI RN
Antenatal and postnatal complications Questions
Question 1 of 5
Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
Correct Answer: C
Rationale: The correct answer is C: Fundal height measurement of 18 cm. At 10 weeks of gestation, the fundal height should typically measure around 10-12 cm. A fundal height measurement of 18 cm would suggest excessive growth, which is a characteristic finding in a hydatidiform mole due to abnormal proliferation of placental tissue. Incorrect choices: A: Blood pressure of 120/80 mm Hg is within normal range and not specific to hydatidiform mole. B: Complaint of frequent mild nausea is a common symptom in early pregnancy and not specific to a mole. D: History of bright red spotting for 1 day weeks ago is more indicative of a potential previous miscarriage, not necessarily a mole.
Question 2 of 5
A high-risk labor patient progresses from preeclampsia to eclampsia. Aggressive management is instituted, and the fetus is delivered via cesarean birth. Which finding in the immediate postoperative period indicates that the patient is at risk of developing HELLP syndrome?
Correct Answer: A
Rationale: The correct answer is A: Platelet count of 50,000/mcL. In HELLP syndrome, there is hemolysis, elevated liver enzymes, and low platelet count. A platelet count of 50,000/mcL indicates thrombocytopenia, a key feature of HELLP syndrome. It signifies ongoing coagulation abnormalities and liver dysfunction. B: Liver enzyme levels within normal range is incorrect as HELLP syndrome typically presents with elevated liver enzymes. C: Negative for edema is incorrect as edema is not a defining characteristic of HELLP syndrome. D: No evidence of nausea or vomiting is incorrect as these symptoms are not specific to HELLP syndrome.
Question 3 of 5
Which finding in the assessment of a patient following an abruption placenta could indicate a major complication?
Correct Answer: C
Rationale: The correct answer is C because bleeding at the IV insertion site could indicate disseminated intravascular coagulation (DIC), a major complication of placental abruption. DIC is a serious condition that results in widespread clotting and bleeding throughout the body. This finding signifies that the patient's clotting factors are being consumed rapidly, leading to uncontrolled bleeding. Options A, B, and D are not indicative of a major complication of placental abruption. A decreased urine output, low blood pressure, and normal respiratory rate may be seen in various conditions but are not specific to DIC or a major complication in this context.
Question 4 of 5
Which finding in the exam of a patient with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?
Correct Answer: C
Rationale: The correct answer is C: Clear fluid from vagina. In threatened abortion, the pregnancy is at risk but the fetus is still viable. In inevitable abortion, there is no chance of continuation. Clear fluid from the vagina indicates rupture of membranes, leading to inevitable abortion due to the loss of amniotic fluid. Backache, rise in hCG levels, and pelvic pressure are common symptoms in threatened abortion but do not definitively indicate progression to inevitable abortion.
Question 5 of 5
The labor and birth nurse is reviewing the risk factors for placenta previa with a group of nursing students. The nurse determines that the students understood the discussion when they identify which patient being at the highest risk for developing a placenta previa?
Correct Answer: C
Rationale: The correct answer is C: Male fetus, African-American, previous cesarean birth. Placenta previa occurs when the placenta partially or completely covers the cervix. African-American women have a higher incidence of placenta previa. Previous cesarean birth is a risk factor due to possible scarring on the uterine wall, increasing the likelihood of placenta implantation issues. Male fetuses are associated with a higher risk of placenta previa, possibly due to a larger placental size. The other choices do not align with known risk factors for placenta previa, such as the ethnicity, fetal gender, and obstetric history mentioned.