High Risk Pregnancy ATI
1.A nurse in a provider's office is reinforcing teaching to a client who is 34 weeks of gestation
and at risk for placental abruption. The nurse recognizes that which of the following is the most
common risk factor for abruption?
Cocaine use
Hypertension
Blunt force trauma
Cigarette smoking
2.A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks gestation
and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain
and vaginal bleeding. The nurse should suspect which of the following complications?
Placenta previa
Prolapsed cord
Incompetent cervix
Abruptio placentae
3.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"
4.A nurse in the emergency department is caring for a client who comes to the emergency
department reporting severe abdominal pain in the lower left quadrant. The provider suspects a
ruptured ectopic pregnancy. Which of the following signs indicates to the client that the client
has blood in the peritoneum?
Chvostek's sign
Cullen's Sign
Chadwick's sign
Goodell's sign Cullen's Sign
5.A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings
should indicate to the nurse that the client requires further evaluation for this disorder?
INcreased urine output
Vaginal discharge
Elevated blood pressure
Joint pain
6.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 ambulate twice daily
7.A nurse is admitting a client Who is at 37 weeks of gestation and has severe gestational
hypertension. Which of the following actions should the nurse should implement? (select all that
apply)
Administer magnesium sulfate IV
Provide a dark, quiet environment
Assess respiratory status every 4 hr
Evaluate neurologic status every 8 hr
Ensure that calcium gluconate is readily available
Provide a dark, quiet environment
Ensure that calcium gluconate is readily available
8.A nurse is caring for a client who is 28 weeks and received terbutaline. Which of the following
findings should the nurse expect?
Fetal heart rate 100/min
Weakened uterine contractions
Enhanced production of fetal lung surfactant
Maternal blood glucose of 63 mg/dL
9.A nurse is caring for a client Who is suspected of having hydatidiform mole. Which of the
following findings should the nurse expect to observe in this client is?
Rapid decline in human chorionic gonadotropin (hCG) levels
Profuse, clear vaginal discharge
Irregular fetal heart rate
Excessive uterine enlargement
10.A nurse is admitting a client who is at 30 weeks of gestation and is preterm labor. The client
has a new prescription for betamethasone and asks the nurse about the purpose of this
medication. The nurse should provide which of the following explanations?
"It is used to stop preterm labor contractions"
" it halts cervical dilation"
"It promotes fetal lung maturity"
" it increases the fetal heart rate."
11.A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted
to the hospital at 38 weeks gestation with a diagnosis of preeclampsia. Which of the following
findings should the nurse identify as inconsistent with preeclampsia?
1+ pitting sacral edema
3+ protein in the urine
Blood pressure 148/98 mm Hg
Deep tendon reflexes of +1
1.A nurse in a provider's office is reinforcing teaching to a client who is 34 weeks of gestation
and at risk for placental abruption. The nurse recognizes that which of the following is the most
common risk factor for abruption?
Cocaine use
Hypertension
Blunt force trauma
Cigarette smoking
2.A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks gestation
and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain
and vaginal bleeding. The nurse should suspect which of the following complications?
Placenta previa
Prolapsed cord
Incompetent cervix
Abruptio placentae
3.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"
4.A nurse in the emergency department is caring for a client who comes to the emergency
department reporting severe abdominal pain in the lower left quadrant. The provider suspects a
ruptured ectopic pregnancy. Which of the following signs indicates to the client that the client
has blood in the peritoneum?
Chvostek's sign
Cullen's Sign
Chadwick's sign
Goodell's sign Cullen's Sign
5.A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings
should indicate to the nurse that the client requires further evaluation for this disorder?
INcreased urine output
Vaginal discharge
Elevated blood pressure
Joint pain
6.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 ambulate twice daily
7.A nurse is admitting a client Who is at 37 weeks of gestation and has severe gestational
hypertension. Which of the following actions should the nurse should implement? (select all that
apply)
Administer magnesium sulfate IV
Provide a dark, quiet environment
Assess respiratory status every 4 hr
Evaluate neurologic status every 8 hr
Ensure that calcium gluconate is readily available
Provide a dark, quiet environment
Ensure that calcium gluconate is readily available
8.A nurse is caring for a client who is 28 weeks and received terbutaline. Which of the following
findings should the nurse expect?
Fetal heart rate 100/min
Weakened uterine contractions
Enhanced production of fetal lung surfactant
Maternal blood glucose of 63 mg/dL
9.A nurse is caring for a client Who is suspected of having hydatidiform mole. Which of the
following findings should the nurse expect to observe in this client is?
Rapid decline in human chorionic gonadotropin (hCG) levels
Profuse, clear vaginal discharge
Irregular fetal heart rate
Excessive uterine enlargement
10.A nurse is admitting a client who is at 30 weeks of gestation and is preterm labor. The client
has a new prescription for betamethasone and asks the nurse about the purpose of this
medication. The nurse should provide which of the following explanations?
"It is used to stop preterm labor contractions"
" it halts cervical dilation"
"It promotes fetal lung maturity"
" it increases the fetal heart rate."
11.A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted
to the hospital at 38 weeks gestation with a diagnosis of preeclampsia. Which of the following
findings should the nurse identify as inconsistent with preeclampsia?
1+ pitting sacral edema
3+ protein in the urine
Blood pressure 148/98 mm Hg
Deep tendon reflexes of +1
