ATI RN
Complications of antenatal care Questions
Question 1 of 5
Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Administration of methotrexate. This is the priority intervention for a patient with an intact tubal pregnancy as it helps to stop the growth of the pregnancy tissue in the fallopian tube, reducing the risk of rupture and potentially saving the patient's life. Administering methotrexate promptly is crucial in managing tubal pregnancies. Assessing pain level (choice A) is important but not the priority in this case. Administration of Rh immune globulin (choice C) is not necessary for an intact tubal pregnancy. Explanation of common side effects (choice D) can be done after the priority intervention.
Question 2 of 5
Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
Correct Answer: A
Rationale: The correct answer is A: Hypoglycemia. Infants of diabetic mothers are at risk for hypoglycemia due to excessive insulin production in response to high maternal blood glucose levels. Monitoring blood glucose levels is crucial to prevent complications. Hypercalcemia (B) is not typically associated with infants of diabetic mothers. Hypoinsulinemia (C) refers to low insulin levels, which is not a major concern in this context. Hypobilirubinemia (D) is low levels of bilirubin and is not a common complication in infants of diabetic mothers.
Question 3 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 4 of 5
A patient has a history of drug use and is screened for hepatitis B during the first trimester. Which action is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Plan for retesting during the third trimester. This is because screening for hepatitis B in the first trimester may not accurately reflect the patient's current status. Retesting in the third trimester ensures an updated result closer to delivery, allowing for appropriate interventions if needed. A: Practice respiratory isolation is incorrect because hepatitis B is transmitted through blood and bodily fluids, not through respiratory droplets. C: Discuss the recommendation to bottle feed her baby is incorrect as breastfeeding is not contraindicated in mothers with hepatitis B. D: Anticipate administering the vaccination for hepatitis B as soon as possible is incorrect as vaccination is not the immediate next step after screening; retesting and further evaluation are necessary before deciding on vaccination.
Question 5 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.