ATI RN
Complications of antenatal care Questions
Question 1 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 2 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.
Question 3 of 5
Why is it important for the nurse to encourage a client with preeclampsia to lie in the left-lateral recumbent position?
Correct Answer: A
Rationale: The correct answer is A because lying in the left-lateral recumbent position helps maximize uterine and kidney perfusion by improving blood flow to these organs. By lying on the left side, the weight of the uterus is shifted off the major vessels, reducing compression and allowing for better circulation. This position also helps in relieving pressure on the inferior vena cava, promoting venous return and cardiac output. Choices B, C, and D are incorrect because they do not address the specific physiological benefits associated with the left-lateral recumbent position in the context of preeclampsia.
Question 4 of 5
A pregnant person at which age is at increased risk during pregnancy? Select all that apply.
Correct Answer: A,D
Rationale: The correct answers are A and D. At 18, there is an increased risk of complications due to the mother's physical immaturity. At 35, the risk increases due to advanced maternal age, associated with higher chances of chromosomal abnormalities. Choices B and C are less risky age groups compared to A and D.
Question 5 of 5
What should nurses do to support migrant farm workers receiving prenatal care?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Evaluate occupational hazards: Nurses should identify potential risks faced by migrant farm workers during pregnancy. 2. Provide education: Nurses should educate on how to minimize exposure to hazards. 3. This approach promotes a safe prenatal environment for both the mother and the baby. Summary: A. Offering medication without proper assessment can be harmful. B. Heavy lifting can increase the risk of complications and should be avoided. D. Referring all patients for mental health resources may not address the specific needs of migrant farm workers.