ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A 38-week pregnant patient in active labor is experiencing frequent and painful contractions. What is the most appropriate action for the nurse?
Correct Answer: D
Rationale: The correct answer is D: Prepare for delivery. At 38 weeks of gestation and in active labor, the most appropriate action is to prepare for delivery as the patient is likely to be close to giving birth. This involves ensuring that all necessary equipment and supplies are ready, notifying the healthcare team, and positioning the patient for delivery. Administering narcotic analgesics (choice A) may not be ideal at this stage as the priority is the imminent delivery. While emotional support and reassurance (choice B) are important, they should be provided alongside preparing for delivery. Assessing the fetal heart rate and contraction patterns (choice C) is crucial but should be done concurrently with preparing for delivery to ensure the safety of both the mother and baby.
Question 2 of 5
A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands?
Correct Answer: A
Rationale: The correct answer is A because maternal obesity is a risk factor for gestational diabetes. The patient's weight of 90.9 kg puts her at an increased risk. Gestational diabetes is more likely to occur in overweight or obese pregnant women. The patient's understanding that her weight increases the possibility of developing gestational diabetes demonstrates comprehension of the risk factors. Choice B is incorrect because weight alone is a significant risk factor for gestational diabetes, regardless of whether the patient is considered overweight or not. Choice C is incorrect as a family history of preeclampsia is a risk factor for preeclampsia, not gestational diabetes. Choice D is incorrect because while a glucose tolerance test may be part of prenatal care, it does not specifically address the patient's understanding of the risk factors associated with her weight and gestational diabetes.
Question 3 of 5
A nurse is caring for a patient in labor who is receiving oxytocin for induction. Which of the following is a priority assessment for the nurse?
Correct Answer: A
Rationale: The correct answer is A: Fetal heart rate monitoring. This is a priority assessment because oxytocin can cause uterine hyperstimulation, leading to fetal distress. Monitoring the fetal heart rate allows early detection of any signs of fetal compromise. Choices B, C, and D are important assessments but not the priority in this situation. Monitoring fluid intake and output, uterine tone, and maternal blood pressure are also crucial but do not directly assess fetal well-being, which is the primary concern during labor induction with oxytocin.
Question 4 of 5
The nurse is caring for a pregnant patient who has a history of gestational hypertension. Which intervention is most important to reduce the risk of complications?
Correct Answer: A
Rationale: The correct answer is A: Monitor blood pressure regularly during pregnancy. Regular monitoring is crucial to detect any changes in blood pressure early and intervene promptly to prevent complications like preeclampsia. Choice B is incorrect because vigorous exercise can increase blood pressure. Choice C is incorrect as a high-sodium diet can worsen hypertension. Choice D is incorrect as reducing fluid intake can lead to dehydration and potentially exacerbate hypertension. Regular blood pressure monitoring is key in managing gestational hypertension and ensuring the best outcomes for both the mother and the baby.
Question 5 of 5
A 30-year-old pregnant patient is at 36 weeks gestation and expresses concerns about swelling in her legs. Which of the following assessments is most important for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Examine the legs for any signs of deep vein thrombosis (DVT). At 36 weeks gestation, pregnant women are at higher risk for DVT due to increased blood volume and pressure on the veins from the growing uterus. DVT can be life-threatening if not detected early. Assessing for any signs of DVT such as redness, warmth, swelling, or pain in the legs is crucial for prompt intervention. Incorrect choices: A: Assessing weight gain is important but not the priority in this situation where DVT is a concern. C: Instructing the patient to elevate her legs and rest can help with swelling but does not address the potential serious complication of DVT. D: Evaluating dietary intake of sodium is not the priority in this situation where DVT is a concern.