ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A woman who has had multiple cesarean sections is in labor. What is the most important complication to monitor for?
Correct Answer: A
Rationale:
Correct Answer: A: Uterine rupture
Rationale:
1. History of multiple cesarean sections increases the risk of uterine rupture.
2. Uterine rupture is a life-threatening complication for both mother and baby.
3. Signs include sudden severe abdominal pain, fetal distress, and hemodynamic instability.
4. Immediate intervention is crucial to prevent adverse outcomes.
Summary:
B: Precipitous labor - Quick labor is not specifically associated with multiple cesarean sections.
C: Maternal hypotension - Important but not the most critical complication in this scenario.
D: Fetal malpresentation - While important, it is not the most immediate concern compared to uterine rupture.
Question 2 of 5
Transvaginal ultrasonography is often performed during the first trimester. What conditions may require this test? (Select all that apply.)
Correct Answer: C
Rationale: Transvaginal ultrasound is used to confirm fetal viability, assess multiple gestations, and check for uterine abnormalities.
Question 3 of 5
The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?
Correct Answer: B
Rationale: Backaches are a common complaint during pregnancy, and providing guidance on how to relieve them is a priority at this stage. Pain management during labor, breastfeeding positions, and newborn characteristics are typically addressed later in pregnancy.
Question 4 of 5
A patient with a history of asthma is about to receive an epidural block for pain management during labor. What should the nurse monitor for after the procedure?
Correct Answer: A
Rationale: The correct answer is A: Respiratory depression. After receiving an epidural block, the nurse should monitor for respiratory depression in a patient with a history of asthma due to the potential for decreased lung function. This is crucial as the medication from the block can affect respiratory drive, leading to compromised breathing. Tachycardia (choice
B), elevated blood pressure (choice
C), and hyperthermia (choice
D) are not typically associated with epidural blocks and are not the primary concerns for a patient with asthma undergoing this procedure.
Question 5 of 5
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
Correct Answer: A
Rationale: Ptyalism (excessive salivation) can lead to oral hygiene issues, so encouraging careful tooth brushing is appropriate. Blood pressure checks, wearing supportive hosiery, and avoiding rare meat address other concerns but are unrelated to ptyalism.