ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Diarrhea. Evening primrose oil is often recommended to help ripen the cervix due to its prostaglandin content, which can stimulate uterine contractions. Diarrhea is a common side effect of prostaglandins, making it important for the client to report this to her healthcare provider. Option B) Pedal edema is unlikely to be caused by evening primrose oil and is not a typical side effect associated with its use in pregnancy. Option C) Blurred vision and D) Tinnitus are also not commonly reported side effects of evening primrose oil. From an educational perspective, it is crucial for healthcare providers, especially nurse midwives, to understand the potential side effects of commonly recommended interventions during pregnancy. This knowledge helps in providing appropriate guidance to pregnant women and ensures their safety and well-being. By explaining the rationale behind the correct answer and debunking the incorrect options, students and practitioners can enhance their pharmacological knowledge and clinical decision-making skills in maternal monitoring.
Question 2 of 5
A woman, 26-weeks’ gestation, calls the triage nurse stating, 'I’m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'
Correct Answer: B
Rationale: The correct answer is option B) Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor. Explanation: This option is correct because oxytocin, the hormone responsible for uterine contractions during labor, is also released during orgasm. However, the amount released during sexual activity is not significant enough to induce preterm labor at 26 weeks gestation. It is important to reassure the woman that experiencing an orgasm during pregnancy is normal and does not necessarily lead to preterm labor. Why others are wrong: A) Lie down and drink a quart of water. If you feel any back pressure at all call me back right away. This option does not address the woman's concerns about preterm labor and may cause unnecessary worry or confusion. C) I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked. This option may cause unnecessary alarm and lead to an unnecessary visit to the hospital without proper justification, potentially increasing the woman's anxiety and stress. D) The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment. This option does not address the woman's concerns about preterm labor after experiencing an orgasm during pregnancy. Fetal kick counts are important but are not the immediate priority in this scenario. Educational context: It is crucial for healthcare providers to offer accurate and reassuring information to pregnant women to alleviate their fears and ensure their well-being. Understanding the physiological changes that occur during pregnancy, such as the release of oxytocin during sexual activity, can help healthcare professionals provide appropriate guidance and support to expectant mothers. Empowering women with knowledge about their bodies can enhance their confidence and reduce unnecessary anxiety during pregnancy.
Question 3 of 5
A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.
Correct Answer: B
Rationale: In the context of pharmacology and external maternal monitoring, choosing option B, "See a medical doctor," before stopping birth control is crucial for several reasons. Firstly, consulting a medical doctor allows the woman to discuss her overall health, medical history, and any specific risks or considerations related to her planned pregnancy. The doctor can provide personalized guidance on the safest and most effective way to transition from birth control to optimize the chances of a healthy pregnancy. Option A, "Take a daily multivitamin," while generally a good practice for overall health, is not directly related to the specific transition from birth control to pregnancy. While proper nutrition is important for maternal and fetal health, it is not a prerequisite before stopping birth control. Option C, "Drink beer instead of vodka," is irrelevant and potentially harmful advice. Alcohol consumption should be minimized or avoided altogether when planning for pregnancy to prevent any potential harm to the fetus. Option D, "Stop all over-the-counter medications," is also not a blanket recommendation. It is essential to consult with a healthcare provider before stopping any medications, including over-the-counter ones, as some medications may need to be managed differently during pregnancy. In an educational context, understanding the importance of seeking medical advice before making significant changes like stopping birth control when planning for pregnancy highlights the significance of individualized healthcare and the role of healthcare providers in guiding patients through safe and informed decision-making processes. This rationale underscores the need for women to prioritize their health and seek professional medical guidance during preconception planning.
Question 4 of 5
The nurse is caring for a pregnant client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?
Correct Answer: A
Rationale: Tofu, legumes, and broccoli provide essential nutrients like protein, iron, and calcium that are often lacking in a vegan diet. Corn, yams, and green beans offer carbohydrates and vitamins but lack sufficient protein sources. Potatoes, parsnips, and turnips are starchy vegetables with limited nutritional variety. Cheese, yogurt, and fish are non-vegan options.
Question 5 of 5
Which is equivalent to a 2 oz protein serving?
Correct Answer: B
Rationale: In the context of pharmacology and external maternal monitoring, understanding proper nutrition during pregnancy is crucial to ensure the health and well-being of both the mother and the developing fetus. When it comes to protein intake, it is important for pregnant women to consume an adequate amount to support the growth and development of the baby. The correct answer, option B) 2 eggs, is equivalent to a 2 oz protein serving. Eggs are a high-quality source of protein and provide essential nutrients like choline, which is important for fetal brain development. Option A) 4 tbsp peanut butter may contain approximately 8 grams of protein, but the serving size may not necessarily equate to a 2 oz protein serving. Option C) 1 cup cooked lima beans contains protein, but the volume required to reach a 2 oz serving may exceed a typical serving size. Option D) 2 ounces mixed nuts also contain protein, but the protein content can vary depending on the types of nuts included, and the serving size may not precisely match a 2 oz protein serving. Educationally, understanding portion sizes and protein equivalents is vital for pregnant women to maintain a balanced diet. By selecting the correct answer, students learn the importance of choosing appropriate protein sources during pregnancy to support maternal and fetal health.