Mod 8 ATI Test- High-Risk Pregnancy

A nurse in an obstetrician's office is reviewing a client's medical record.

Which of the following diagnostic tests should the nurse anticipate the provider will prescribe?

Biophysical profile (BPP)

Nonstress test (NST)

A nurse in an outpatient medical clinic is caring for a client.

Select the 3 findings that increase the client's risk for pregnancy complications.

Medical history

BMI

Age

A nurse is caring for a pregnant client who has gestational diabetes. Which of the following pregnancy complications should the nurse identify as risks for this client?

Fetal macrosomia

Fetal demise

Preeclampsia

Polyhydramnios

A nurse is teaching about diet and exercise to a client who is pregnant. Which of the following statements by the client indicate an understanding of the teaching?

"I can eat sandwich meat as long as I heat it first."

"I can continue daily walks in my neighborhood."

"I can eat foods that have been pasteurized."

A nurse is caring for a client who is pregnant and presents to the clinic with reports of decreased fetal movement. After an ultrasound with a biophysical profile (BPP) is performed, a diagnosis of fetal growth restriction is confirmed. Which of the following factors should the nurse identify as contributing to fetal growth restriction?

Twin pregnancy at 28 weeks of gestation

Placental abruption

Two-vessel umbilical cord

Placental insufficiency

A nurse is discussing the fetal implications of uncontrolled hypertension during pregnancy with a primigravida client. Which of the following statements by the client indicates that teaching has been effective?

"My baby may stop growing earlier than expected if my blood pressure is high."

A nurse is caring for a client who has a high-risk pregnancy and is anxious and tearful. Which of the following statements should the nurse make?

"Attending routine prenatal care and testing can decrease the risk to you and your baby. Tell me how you feel about this."

A nurse is caring for a client who is in the third trimester of pregnancy. The client has one child and experienced fetal demise at 22 weeks of gestation previously. Which of the following at-home fetal assessments should the nurse anticipate to confirm fetal well-being?

Fetal movement counts

A nurse is caring for a 45-year-old client who reports not having menstrual periods for 3 months. The client has a positive urine pregnancy test. Which of the following diagnostic tests should the nurse offer to the client?

Chorionic villus sampling (CVS)

A nurse is following up with a client who is at 28 weeks of gestation and has missed their last two prenatal appointments. Which of the following options is best for the nurse to offer to this client?

Schedule a telehealth visit to gather data on client status, risk factors, and reinforce teaching.

A nurse is teaching a newly licensed nurse how to promote prenatal care. Which of the following nursing actions should the nurse include?

Demonstrating respect of the client's beliefs

Treating the client as an individual

Developing a nurse-client relationship

Including pregnant clients in their health care decisions

A nurse is caring for a 36-year-old client during a prenatal visit. The client is currently at 18 weeks of gestation and experienced a spontaneous abortion last year. Which of the following screening tests should the nurse anticipate offering to this client?

Alpha-fetoprotein (AFP)

Cell-free DNA

Fetal anatomy ultrasound

A nurse in an obstetric clinic is reviewing a client's medical record.

Complete the following sentence by using the lists of options.

The client is at risk for developing ____ as evidenced by the client's ____.

fetal macrosomia

blood glucose level