A patient who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the patient presents at the clinic office complaining of “crampy†abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100°F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/minute (bpm), and respirations, 20 breaths per minute. Based on this assessment data, what does the nurse anticipate as a clinical diagnosis?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 2 of 22
What term describes a spontaneous abortion with no expulsion of the products of conception and a closed cervix?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 3 of 22
Fraternal twins are delivered by your Rh-negative patient. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 4 of 22
The nurse is caring for a patient admitted with vaginal bleeding and cramping who delivered a stillborn infant at 22 weeks' gestation. What data in the patient's health history are associated with this complication of pregnancy?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 5 of 22
What adverse fetal effect is associated with undernutrition?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 6 of 22
Which factor will increase the risk for hypotonic uterine dystocia in a postpartum client?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 7 of 22
Which finding would indicate concealed hemorrhage in abruptio placentae?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 8 of 22
A patient who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse performs the following assessments. The vaginal exam is deferred until the physician is in attendance. The patient is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No contraction pattern is observed. The patient is then transferred to the antepartum unit for continued observation. Several hours later, the patient complains that she does not feel the baby move. Examination of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital admission. The patient is placed on the EFM and no fetal heart tones are observed. What does the nurse suspect is occurring?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 9 of 22
Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 10 of 22
The nurse admits a client with preeclampsia to the high-risk prenatal unit. Which is the next nursing action after the vital signs have been obtained?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 11 of 22
Which condition is most commonly associated with late decelerations of the fetal heart rate?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 12 of 22
Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant patient with diabetes?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 13 of 22
Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 14 of 22
A blood-soaked peripad weighs 900 g. The nurse would document a blood loss of _____ mL.
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 15 of 22
Which maternal condition always necessitates delivery by cesarean birth?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 16 of 22
Which postpartum patient requires further assessment?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 17 of 22
In which situation would a dilation and curettage (D&C) be indicated?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 18 of 22
A patient, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 19 of 22
A patient at 25 weeks' gestation has just been diagnosed with gestational diabetes. What is the most important education for the nurse to provide the patient at this time?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 20 of 22
Why is a multiple-gestation pregnancy considered a high risk?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 21 of 22
Which laboratory finding is indicative of DIC?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Antenatal complications
Question 22 of 22
Which clinical intervention is the only known cure for preeclampsia?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
End of free preview
You have finished the first five questions. Sign in to continue this set and save your progress.