ATI RN
Maternal Monitoring Questions
Question 1 of 5
A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?
Correct Answer: C
Rationale: The correct answer is C) It is a bluish coloration of your cervix and vagina. Rationale: Chadwick's sign is a bluish discoloration of the cervix, vagina, and labia resulting from increased vascularity due to hormonal changes in pregnancy. This physiological change occurs around the 6th week of pregnancy and is an indicator of increased blood flow in the pelvic area, preparing the body for childbirth. Option A is incorrect because a purplish stretch mark on the abdomen is not related to Chadwick's sign. Option B is incorrect as heart palpitations are not associated with Chadwick's sign. Option D is also incorrect as abnormal sounds on breathing are not indicative of Chadwick's sign. Educational Context: Understanding physical signs like Chadwick's sign is crucial for healthcare providers involved in maternal monitoring during pregnancy. It helps in assessing the progress of pregnancy and monitoring the health of both the mother and the fetus. Educating clients about these signs enhances their understanding of the changes happening in their bodies and promotes active participation in their prenatal care.
Question 2 of 5
The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The nurse midwife felt the baby rebound after being pushed. Ballottement is a technique used in obstetrics to assess fetal movement. When the healthcare provider pushes against the fetus, they feel a rebound movement or a floating back, indicating the fetus is freely movable in the amniotic fluid. This is a positive sign of fetal well-being and growth. Option A) The nurse midwife saw that the mucous plug was intact is incorrect because ballottement is not related to the mucous plug, which is a barrier that seals the cervix. Option C) The nurse midwife palpated the fetal parts through the uterine wall is incorrect because ballottement specifically refers to the rebound of the entire fetus, not just the palpation of fetal parts. Option D) The nurse midwife assessed that the baby is head down is incorrect because ballottement does not provide information about the baby's position in the uterus; it is solely a technique to assess fetal movement. Educationally, understanding terminologies and techniques used in maternal monitoring is crucial for healthcare providers working with pregnant clients. Ballottement is a valuable diagnostic tool that aids in assessing fetal well-being and development. By correctly identifying and interpreting ballottement, healthcare providers can provide accurate information to clients regarding their baby's growth and movement, contributing to effective prenatal care.
Question 3 of 5
A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, 'but I don’t think my nipples are right.' Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is to refer the client to a lactation consultant for advice (Option B). This is the best course of action because lactation consultants are specifically trained to provide guidance and support for breastfeeding mothers facing challenges, such as inverted nipples. Option A is incorrect because it is not up to the nurse to definitively state that the client will be unable to breastfeed. Breastfeeding is a complex process, and many women with inverted nipples can breastfeed successfully with proper support and techniques. Option C is incorrect as there is no immediate need to notify the labor room about the client's inverted nipples. This issue can be addressed post-delivery with appropriate support. Option D is incorrect because simply teaching exercises to exert the nipples may not be effective or sufficient in addressing the concerns related to inverted nipples when it comes to breastfeeding. In an educational context, it is crucial for nurses to understand the importance of providing evidence-based care and support to breastfeeding mothers. Referring the client to a lactation consultant empowers the mother to receive specialized help and increases the likelihood of successful breastfeeding despite anatomical challenges. Nurses should be knowledgeable about resources available to support breastfeeding mothers and work collaboratively with other healthcare professionals to ensure optimal outcomes for both the mother and baby.
Question 4 of 5
Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?
Correct Answer: A
Rationale: In pharmacology, understanding maternal monitoring during pregnancy is crucial for nurses to provide optimal care. In this scenario, the correct answer is A) Anemia for a 34-week gestation client. Anemia is a common condition in pregnancy due to an increase in plasma volume that outpaces the increase in red blood cell mass, leading to a dilutional effect. Therefore, it is considered a normal finding in pregnancy, especially in the third trimester. Option B) Thrombocytopenia, a decrease in platelet count, is not a normal finding in pregnancy and can pose risks for bleeding complications during childbirth. Option C) Polycythemia, an elevated red blood cell count, is not expected in a 34-week gestation client and can indicate underlying issues such as dehydration or heart/lung problems. Option D) Hyperbilirubinemia, an increase in bilirubin levels, is not a typical finding in a 34-week gestation client and can be a sign of liver or blood disorders. Educationally, nurses must be able to interpret laboratory reports accurately to provide appropriate care and interventions for pregnant clients. Understanding the normal physiological changes in pregnancy and differentiating them from abnormal findings is essential for ensuring the well-being of both the mother and the fetus.
Question 5 of 5
The nurse asks a woman about how the woman’s husband is dealing with the pregnancy.
Correct Answer: A
Rationale: The correct answer is option A) "My husband is ready for the pregnancy to end so that we can have sex again." This response indicates a common concern during pregnancy known as paternal ambivalence, where the partner may feel disconnected or neglected due to the focus on the pregnant woman. It is crucial for healthcare providers to address such concerns and provide support and education to both partners to maintain a healthy relationship during this transformative time. Option B) "My husband has gained quite a bit of weight during this pregnancy" is incorrect as it does not address the emotional aspect of the partner's experience and focuses on a physical change instead. Option C) "My husband seems more worried about our finances now than before the pregnancy" while a valid concern, does not directly address the partner's emotional response to the pregnancy as the primary focus of the question. Option D) "My husband plays his favorite music for my belly so the baby will learn to like it" is incorrect as it reflects a positive and involved behavior rather than expressing any potential emotional struggles the partner may be experiencing. Educationally, understanding the emotional dynamics of pregnancy on both partners is essential for healthcare providers to provide holistic care. By recognizing and addressing concerns such as paternal ambivalence, providers can support the couple's relationship and overall well-being during this significant life event.