ATI NSG 4525 Antepartum Exam Questions
With Correct Answers
A nurse is caring for a client who is at 18 weeks of gestation. The client should
| | | | | | | | | | | | | | | | |
interpret this finding as which of the following?
| | | | | | |
-Ballottement
-Lightening
-Quickening
-Chloasma - CORRECT ANSWER✔✔-Quickening -
| | | |
Clients describe quickening as a fluttering sensation, which can be felt as early as
| | | | | | | | | | | | | |
the 14th week of gestation. It reflects fetal movement.
| | | | | | | |
A nurse is caring for a client who is at 37 weeks of gestation and has placenta
| | | | | | | | | | | | | | | | |
previa. The client asks the nurse why the provider does not do an internal
| | | | | | | | | | | | | |
examination. Which of the following explanations of the primary reason should
| | | | | | | | | | |
the nurse provide?
| |
-"There is an increased risk of introducing infection."
| | | | | | |
-"This could initiate preterm labor."
| | | |
-"This could result in profound bleeding."
| | | | |
-"There is an increased risk of rupture of the membranes." - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-"This could result in profound bleeding." - | | | | | |
"Pelvic rest" is essential for clients who have placenta previa because any
| | | | | | | | | | | |
disruption of placental blood vessels in the lower uterine segment could cause
| | | | | | | | | | | |
, premature separation of the placenta and life-threatening hemorrhage. This
| | | | | | | | |
means no vaginal examinations, no douching, and no vaginal intercourse.
| | | | | | | | |
A nurse is admitting a client who has severe preeclampsia at 35 weeks of
| | | | | | | | | | | | | |
gestation and is reviewing the provider's orders. Which of the following orders
| | | | | | | | | | | |
requires clarification? |
-Assess deep tendon reflexes every hour.
| | | | |
-Obtain a daily weight. | | |
-Continuous fetal monitoring | |
-Ambulate twice daily. - CORRECT ANSWER✔✔-Ambulate twice daily. -
| | | | | | | |
A provider's order to allow the client to ambulate requires clarification. The client
| | | | | | | | | | | |
who has severe preeclampsia should be placed on bedrest in a quiet,
| | | | | | | | | | | | |
nonstimulating environment to prevent seizures and promote optimal placental| | | | | | | | |
blood flow. |
A nurse is caring for a client who is at 36 weeks of gestation and who has a
| | | | | | | | | | | | | | | | | |
suspected placenta previa. Which of the following findings support this diagnosis?
| | | | | | | | | |
-Painless red vaginal bleeding | | |
-Increasing abdominal pain with a nonrelaxed uterus
| | | | | |
-Abdominal pain with scant red vaginal bleeding | | | | | |
-Intermittent abdominal pain following passage of bloody mucus - CORRECT
| | | | | | | | | |
ANSWER✔✔-Painless red vaginal bleeding - | | | |
Placenta previa is a condition of pregnancy when the placenta implants in the
| | | | | | | | | | | | |
lower part of the uterus, partly or completely obstructing the cervical os (outlet
| | | | | | | | | | | | |
to the vagina). Bright red, painless vaginal bleeding occurs in the second and third
| | | | | | | | | | | | |
|trimester.
With Correct Answers
A nurse is caring for a client who is at 18 weeks of gestation. The client should
| | | | | | | | | | | | | | | | |
interpret this finding as which of the following?
| | | | | | |
-Ballottement
-Lightening
-Quickening
-Chloasma - CORRECT ANSWER✔✔-Quickening -
| | | |
Clients describe quickening as a fluttering sensation, which can be felt as early as
| | | | | | | | | | | | | |
the 14th week of gestation. It reflects fetal movement.
| | | | | | | |
A nurse is caring for a client who is at 37 weeks of gestation and has placenta
| | | | | | | | | | | | | | | | |
previa. The client asks the nurse why the provider does not do an internal
| | | | | | | | | | | | | |
examination. Which of the following explanations of the primary reason should
| | | | | | | | | | |
the nurse provide?
| |
-"There is an increased risk of introducing infection."
| | | | | | |
-"This could initiate preterm labor."
| | | |
-"This could result in profound bleeding."
| | | | |
-"There is an increased risk of rupture of the membranes." - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-"This could result in profound bleeding." - | | | | | |
"Pelvic rest" is essential for clients who have placenta previa because any
| | | | | | | | | | | |
disruption of placental blood vessels in the lower uterine segment could cause
| | | | | | | | | | | |
, premature separation of the placenta and life-threatening hemorrhage. This
| | | | | | | | |
means no vaginal examinations, no douching, and no vaginal intercourse.
| | | | | | | | |
A nurse is admitting a client who has severe preeclampsia at 35 weeks of
| | | | | | | | | | | | | |
gestation and is reviewing the provider's orders. Which of the following orders
| | | | | | | | | | | |
requires clarification? |
-Assess deep tendon reflexes every hour.
| | | | |
-Obtain a daily weight. | | |
-Continuous fetal monitoring | |
-Ambulate twice daily. - CORRECT ANSWER✔✔-Ambulate twice daily. -
| | | | | | | |
A provider's order to allow the client to ambulate requires clarification. The client
| | | | | | | | | | | |
who has severe preeclampsia should be placed on bedrest in a quiet,
| | | | | | | | | | | | |
nonstimulating environment to prevent seizures and promote optimal placental| | | | | | | | |
blood flow. |
A nurse is caring for a client who is at 36 weeks of gestation and who has a
| | | | | | | | | | | | | | | | | |
suspected placenta previa. Which of the following findings support this diagnosis?
| | | | | | | | | |
-Painless red vaginal bleeding | | |
-Increasing abdominal pain with a nonrelaxed uterus
| | | | | |
-Abdominal pain with scant red vaginal bleeding | | | | | |
-Intermittent abdominal pain following passage of bloody mucus - CORRECT
| | | | | | | | | |
ANSWER✔✔-Painless red vaginal bleeding - | | | |
Placenta previa is a condition of pregnancy when the placenta implants in the
| | | | | | | | | | | | |
lower part of the uterus, partly or completely obstructing the cervical os (outlet
| | | | | | | | | | | | |
to the vagina). Bright red, painless vaginal bleeding occurs in the second and third
| | | | | | | | | | | | |
|trimester.
