ATI RN
Maternal Disorders Questions
Question 1 of 5
Which infant is most likely to express Rh incompatibility?
Correct Answer: A
Rationale: Rationale: 1. Rh incompatibility occurs when the mother is Rh-negative and the father is Rh-positive. 2. If the father is homozygous for Rh factor (AA), all offspring will be Rh-positive. 3. The Rh-positive offspring from an Rh-negative mother can lead to Rh incompatibility. 4. Therefore, the infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor is most likely to express Rh incompatibility. Summary: - Choice B is incorrect because both mother and infant are Rh-negative. - Choice C is incorrect because the father being heterozygous for the Rh factor would not result in all offspring being Rh-positive. - Choice D is incorrect as both mother and infant are Rh-positive, so there is no risk of Rh incompatibility.
Question 2 of 5
Most congenital anomalies of the central nervous system (CNS) result from defects in the closure of the neural tube during fetal development. Which factor has the greatest impact on this process?
Correct Answer: B
Rationale: The correct answer is B: Maternal folic acid deficiency. Folic acid is essential for neural tube closure. Deficiency can lead to neural tube defects in the fetus. Maternal diabetes (choice A) can increase the risk, but it's not the primary factor. Socioeconomic status (choice C) may indirectly impact nutrition but isn't directly related to neural tube closure. Maternal use of anticonvulsants (choice D) can increase the risk, but it's not as significant as folic acid deficiency in neural tube closure.
Question 3 of 5
The test used to screen for gestational diabetes is the:
Correct Answer: B
Rationale: The correct answer is B: Glucose challenge test. This test is used to screen for gestational diabetes as it involves drinking a glucose solution and measuring blood sugar levels afterward. This test is specifically designed to assess how well the body processes sugar during pregnancy. The other choices are incorrect because: A: Glycosylated hemoglobin test measures average blood sugar levels over the past 2-3 months and is not specific for gestational diabetes. C: Oral glucose tolerance test is used to diagnose gestational diabetes, not to screen for it. D: Postprandial glucose test measures blood sugar levels after a meal and is not the recommended screening test for gestational diabetes.
Question 4 of 5
Intrapartum nursing care for a woman who has sickle cell disease focuses on:
Correct Answer: A
Rationale: The correct answer is A because maintaining oxygenation is crucial due to the risk of vaso-occlusive crisis in sickle cell disease. Dehydration can worsen sickling of red blood cells. Choice B is incorrect because pain control is important but not the primary focus. Choice C is incorrect as excess exertion can trigger a crisis, and limiting visitors is not a priority. Choice D is incorrect as calorie intake and internal monitoring are not directly related to intrapartum care for sickle cell disease.
Question 5 of 5
The pregnant woman who becomes infected with chickenpox should be taught to report promptly:
Correct Answer: A
Rationale: The correct answer is A: Cough or dyspnea. Chickenpox can lead to pneumonia in pregnant women, causing cough or dyspnea. Prompt reporting is crucial for timely intervention. B: Severe itching is common in chickenpox but not a critical symptom. C: Joint pain is not a typical complication of chickenpox. D: Increased urination is not directly related to chickenpox complications during pregnancy. It's important for the pregnant woman to be aware of respiratory symptoms as they can indicate a serious complication that requires immediate medical attention.