ATI RN
Maternal Monitoring Questions
Question 1 of 5
A 35-week pregnant woman presents with ruptured membranes. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Check for cord prolapse. This is the priority intervention because with ruptured membranes, there is a risk of umbilical cord prolapse, which can lead to fetal compromise. Checking for cord prolapse allows for quick identification and immediate intervention to prevent potential harm to the baby. Choice B is incorrect as monitoring for fetal distress is important but not the immediate priority when cord prolapse is a concern. Choice C, administering antibiotics, may be necessary but does not address the immediate risk of cord prolapse. Choice D, performing a vaginal exam, can increase the risk of infection and should be avoided until cord prolapse is ruled out.
Question 2 of 5
The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?
Correct Answer: C
Rationale: The correct answer is C: Alcohol abuse. During adolescence, children of parents who have substance abuse issues, like alcohol, are at an increased risk of developing similar problems. This is due to genetic predisposition, environmental factors, and learned behavior. Children tend to model the behavior of their parents, and if they are exposed to alcohol abuse at a young age, they are more likely to engage in alcohol abuse themselves as they grow older. Incorrect choices: A: Hypertension - This choice is not directly related to the situation described and is not typically a risk factor associated with parental alcohol abuse. B: Diabetes - Similar to choice A, diabetes is not directly linked to parental alcohol abuse and is not a common risk factor during adolescence in this scenario. D: Intraventricular bleeding - This is a medical condition that is not typically influenced by parental alcohol abuse and is not a common risk factor during adolescence.
Question 3 of 5
The nurse is caring for a woman who is pregnant and reports that she has used tobacco throughout her pregnancy. What is the most likely risk to her baby?
Correct Answer: C
Rationale: The correct answer is C: Low birth weight. Tobacco use during pregnancy is associated with several adverse outcomes, including low birth weight. Nicotine in tobacco can constrict blood vessels, reducing the flow of oxygen and nutrients to the baby, leading to poor growth and low birth weight. Neonatal death (A) is a severe outcome but not the most likely risk associated with tobacco use during pregnancy. Fetal alcohol syndrome (B) is caused by alcohol consumption, not tobacco use. Cerebral palsy (D) is a neurological condition not directly linked to tobacco use during pregnancy.
Question 4 of 5
A nurse is caring for a pregnant woman who is at 40 weeks gestation and is experiencing a prolonged labor. Which of the following interventions is most appropriate to promote labor progression?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to walk or change positions. This intervention helps to promote gravity-assisted descent of the fetus, aiding in cervical dilation and labor progression. Walking and changing positions can also help alleviate pain and discomfort, facilitate optimal fetal positioning, and prevent maternal exhaustion. Administering a sedative (A) can potentially slow down labor progress. Administering oxytocin (C) may be indicated in certain situations, but it is not the most appropriate initial intervention for promoting labor progression in this case. Performing a cesarean section (D) is not warranted unless there are specific medical indications for it, as it is a major surgical procedure with potential risks.
Question 5 of 5
A pregnant woman who is 20 weeks gestation asks about the risk of consuming caffeine during pregnancy. Which of the following responses is most appropriate?
Correct Answer: A
Rationale: The correct answer is A because current guidelines suggest that consuming up to 200 mg of caffeine per day is considered safe during pregnancy. This amount is unlikely to harm the developing fetus. Excessive caffeine intake has been associated with an increased risk of miscarriage and low birth weight. Option B is incorrect as complete avoidance of caffeine is not necessary, but rather moderation is key. Option C is partially correct in emphasizing moderation but the recommendation to avoid coffee in the afternoon is not supported by evidence. Option D is incorrect as caffeine does have an impact on pregnancy, and unrestricted consumption is not advisable.