ATI RN
Complications of antenatal care Questions
Question 1 of 5
Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Mitral valve prolapse. Mitral valve prolapse is a common condition in women of childbearing years and usually has a benign effect on pregnancy due to its typically mild symptoms and low risk of complications. The mitral valve leaflets bulging back into the left atrium during systole do not typically interfere with pregnancy. On the other hand, choices A, C, and D (Cardiomyopathy, Rheumatic heart disease, and Congenital heart disease) are more likely to have serious implications for pregnancy due to the potential for heart failure, arrhythmias, or other complications that can impact both the mother and the fetus.
Question 2 of 5
The nurse is reviewing the instructions given to a patient at 24 weeks"™ gestation for a glucose challenge test (GCT). The nurse determines that the patient understands the teaching when she makes which statement?
Correct Answer: C
Rationale: The correct answer is C because during a glucose challenge test (GCT), blood is drawn at 1 hour after drinking the glucose solution to measure blood glucose levels. This timing is crucial for diagnosing gestational diabetes. Choice A is incorrect because fasting is not required for a GCT. Choice B is incorrect as the standard glucose solution contains 50 g, not 100 g, of glucose. Choice D is not relevant to the GCT procedure.
Question 3 of 5
Which test is used to confirm cephalopelvic disproportion?
Correct Answer: A
Rationale: The correct answer is A: Ultrasound. Ultrasound is used to confirm cephalopelvic disproportion by assessing fetal size, position, and the mother's pelvic anatomy. It provides valuable information on fetal head size and position relative to the pelvis, helping to determine if the baby can pass through the birth canal. B: Fetal scalp pH is used to assess fetal well-being and oxygenation during labor, not specifically to confirm cephalopelvic disproportion. C: Amniocentesis is a procedure to obtain amniotic fluid for various tests, not directly related to confirming cephalopelvic disproportion. D: Digital pelvimetry involves manually measuring the dimensions of the maternal pelvis, which is less accurate and reliable compared to ultrasound for confirming cephalopelvic disproportion.
Question 4 of 5
Which preexisting condition necessitates a cesarean birth?
Correct Answer: D
Rationale: The correct answer is D: Active genital herpes. This condition can be transmitted to the baby during a vaginal birth, leading to serious complications. Cesarean birth is recommended to prevent transmission. Gonorrhea (A) and Chlamydia (B) can be treated with antibiotics and do not typically require a cesarean birth. Chronic hepatitis (C) does not necessarily require a cesarean birth unless there are other complicating factors.
Question 5 of 5
A breast-feeding mother experiences redness and pain in the left breast, a temperature of 100.8°F (38.2°C), chills, and malaise. Which condition would the nurse suspect?
Correct Answer: A
Rationale: The correct answer is A: Mastitis. The symptoms described point towards an infection of the breast tissue commonly seen in breast-feeding mothers. The redness, pain, fever, chills, and malaise are indicative of mastitis. It is important to differentiate mastitis from engorgement, which is a common issue in early breastfeeding, characterized by swelling and firmness of the breast. Blocked milk ducts may cause localized pain and tenderness but do not typically present with fever and systemic symptoms. Inadequate milk production is unrelated to the symptoms mentioned and is more related to breastfeeding challenges such as latch issues or insufficient milk removal.