ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.
Question 2 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 3 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 4 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.
Question 5 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.