ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
Which information is covered by early pregnancy classes offered in the first and second trimesters?
Correct Answer: C
Rationale: The correct answer is C: Coping with common discomforts of pregnancy. Early pregnancy classes in the first and second trimesters focus on providing expecting mothers with strategies to manage common physical and emotional challenges during pregnancy. This includes information on dealing with nausea, fatigue, backaches, and emotional changes. Understanding and coping with these discomforts can help pregnant women have a more comfortable and healthy pregnancy. A: Methods of pain relief are typically covered in childbirth preparation classes closer to the due date, not in early pregnancy classes. B: The phases and stages of labor are usually discussed in depth in childbirth education classes taken later in pregnancy, not in early pregnancy classes. D: Prebirth and postbirth care of a patient having a cesarean birth is a specific topic that may be covered in a separate class for women who are planning or have been recommended to have a cesarean birth, not typically in early pregnancy classes.
Question 2 of 5
A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Breathing techniques help in managing pain perception during labor. 2. By assisting the patient in breathing methods, she gains control over her pain perception. 3. Controlled breathing can help distract from the intensity of contractions. 4. By focusing on breathing patterns, the patient can stay calm and manage pain effectively. Summary: A, B, and C are incorrect because they do not address pain management directly through breathing techniques. Option A relies on distraction, B focuses on isolation rather than coping mechanisms, and C suggests heavy reliance on medication rather than self-control.
Question 3 of 5
The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?
Correct Answer: A
Rationale: The correct answer is A: During labor, when she can no longer talk through contractions. This is the best time to encourage slow, deep chest breathing as it helps the laboring patient stay calm, focused, and manage pain effectively during the intense active phase of labor. When a woman reaches the point where she can no longer talk through contractions, it indicates that she is in the active phase of labor and may benefit from slow, deep breathing to help cope with the intensity of contractions. Explanation for why other choices are incorrect: B: During the first stage of labor, when the contractions are 3 to 4 minutes apart - Contractions being 3 to 4 minutes apart may not necessarily indicate the active phase of labor requiring slow, deep breathing. C: Between contractions, during the transitional phase of the first stage of labor - Transitional phase contractions are typically intense and close together, making it less ideal for relaxation breathing between contractions. D: Between her efforts
Question 4 of 5
The nurse is discussing with the patient what laboratory tests are performed at the first prenatal visit. What tests for sexually transmitted infections does the nurse include in the discussion? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: VDRL. At the first prenatal visit, screening for syphilis is essential to prevent adverse outcomes. VDRL is a standard test for syphilis. GBS (Group B Streptococcus) testing is typically done later in pregnancy to prevent neonatal infection. Chlamydia culture is important but not typically done at the first visit; it is usually part of routine prenatal care. Hepatitis B testing is crucial during pregnancy but not specifically for sexually transmitted infections.
Question 5 of 5
The nurse is discussing the methods of confirming the pregnancy with a patient at the first prenatal visit. What method is used to confirm cardiac activity of the fetus?
Correct Answer: B
Rationale: The correct answer is B: pelvic ultrasound. Pelvic ultrasound is used to confirm the presence of cardiac activity in the fetus by visualizing the fetal heartbeat. This method is the most accurate and reliable way to confirm the viability of the pregnancy. A bimanual exam (choice A) is a physical examination technique that assesses the size and shape of the uterus but does not confirm fetal cardiac activity. Serum pregnancy test (choice C) and urine pregnancy test (choice D) detect the presence of human chorionic gonadotropin (hCG) hormone in the blood or urine, indicating pregnancy, but do not confirm fetal cardiac activity.