ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A 29-week pregnant woman presents with preterm labor symptoms. What is the most appropriate intervention?
Correct Answer: C
Rationale: The correct answer is C: Administer tocolytics to delay labor. This intervention helps to delay preterm labor, giving time for corticosteroids to enhance fetal lung maturity and reduce neonatal morbidity. Administering magnesium sulfate (Choice A) is used for neuroprotection in preterm labor but is not the initial intervention. Performing a cesarean section (Choice B) is not recommended unless there are complications. Inducing labor immediately (Choice D) is not appropriate as the goal is to delay labor to improve neonatal outcomes.
Question 2 of 5
The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?
Correct Answer: B
Rationale: The correct answer is B because complete abstinence from alcohol is the safest option during pregnancy to prevent any potential harm to the fetus. This statement shows understanding of the importance of avoiding alcohol for the well-being of the baby. Choice A suggests drinking daily, which can still pose risks. Choice C implies occasional drinking is acceptable, which can still be harmful. Choice D is incorrect because alcohol should be avoided throughout pregnancy, not just in the first trimester.
Question 3 of 5
A patient is being discharged after giving birth to a healthy baby. The nurse educates the patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Co-sleeping increases the risk of sudden infant death syndrome (SIDS) and suffocation. Placing the baby in a separate crib reduces these risks. Incorrect Choices: A: Placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS. C: Avoiding pillows and soft bedding in the crib reduces the risk of suffocation. D: Tummy time is important for infant development when the baby is awake.
Question 4 of 5
A 32-year-old patient who is pregnant with her first child is inquiring about labor and delivery. Which of the following statements by the nurse is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Labor usually lasts 12 to 24 hours for first-time mothers. This is the most appropriate response as it provides a realistic timeframe for labor in first-time mothers, which can vary but generally falls within this range. This information prepares the patient for a potentially lengthy labor and helps manage expectations. Choice B is incorrect because stating that labor typically lasts 6 to 8 hours for first-time mothers is too short of a timeframe, which may lead to unrealistic expectations. Choice C is incorrect because it inaccurately suggests that labor for first-time mothers is usually much shorter than for those having their second child, which is not necessarily true. Choice D is incorrect because while labor can be unpredictable, stating that it usually takes less than 12 hours for first-time mothers is not accurate, as labor duration can vary greatly among individuals.
Question 5 of 5
The nurse is caring for a pregnant patient who is concerned about preterm labor. Which of the following symptoms should the nurse instruct the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C: Leaking of clear fluid from the vagina. This symptom could indicate premature rupture of membranes, which is a serious concern in preterm labor. Prompt reporting is crucial to prevent complications. A: Mild back pain and cramping are common in pregnancy and may not necessarily indicate preterm labor. B: Feeling of pelvic pressure can be normal in the third trimester. D: Increased fatigue is common in pregnancy and not a direct sign of preterm labor.