ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 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 2 of 5
A pregnant patient with a history of anemia is asking the nurse about managing iron deficiency. Which of the following statements by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Iron supplements should be taken with a source of vitamin C to enhance absorption. Iron absorption is increased in the presence of vitamin C. Vitamin C helps convert iron into a more absorbable form. This is crucial for managing iron deficiency anemia in pregnant patients. Incorrect choices: A: Iron supplements should not be taken with milk as calcium in milk can hinder iron absorption. C: Iron supplements are safe to take throughout pregnancy, and avoiding them during the second trimester is not recommended. D: There is no specific recommendation to take iron supplements at night before bed; it can be taken at any time of the day.
Question 3 of 5
The nurse is caring for a pregnant patient who is experiencing leg swelling. Which of the following actions should the nurse encourage to reduce the swelling?
Correct Answer: D
Rationale: The correct answer is D. Elevating the legs and avoiding crossing them while sitting helps reduce swelling by promoting venous return and improving circulation. Elevating the legs above the heart level assists in reducing edema. Choices A and C are incorrect as limiting physical activity and wearing tight compression stockings may not effectively address the underlying issue of poor circulation. Choice B is also incorrect as increasing sodium intake can lead to fluid retention and worsen swelling.
Question 4 of 5
A pregnant patient is concerned about preeclampsia, as she has a family history of the condition. Which of the following should the nurse prioritize in monitoring this patient?
Correct Answer: A
Rationale: The correct answer is A because preeclampsia is characterized by high blood pressure and proteinuria. Monitoring blood pressure and urine for protein is essential for early detection and intervention. Choice B is incorrect as abdominal pain and nausea are not specific symptoms of preeclampsia. Choice C is incorrect because excessive fluid intake can worsen preeclampsia. Choice D is incorrect as rest alone cannot prevent or manage preeclampsia. Prioritizing blood pressure and urine monitoring helps identify and manage preeclampsia efficiently.
Question 5 of 5
A nurse is caring for a pregnant patient who is experiencing nausea and vomiting. Which of the following should be included in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: Eat small, frequent meals and avoid spicy or fatty foods. This is because small, frequent meals can help manage nausea by preventing the stomach from becoming too full, while avoiding spicy or fatty foods can reduce irritation and ease digestion. Option B is incorrect as excessive water intake can worsen nausea. Option C is wrong as lying flat on the back can exacerbate nausea and is not recommended during pregnancy. Option D is incorrect because skipping meals can lead to low blood sugar levels, worsening nausea. Overall, choice A aligns with evidence-based strategies for managing nausea and vomiting in pregnancy.