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 blood flow to these areas due to pregnancy. This sign is a classic indicator of pregnancy and is caused by increased vascularity in the pelvic area. It is an important physiological change that occurs in women during pregnancy and is typically observed around the sixth week of gestation. Option A is incorrect because a purplish stretch mark on the abdomen is referred to as striae gravidarum, not 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 heard during breathing are not related to Chadwick's sign. In an educational context, understanding these physiological changes during pregnancy is crucial for nurses caring for pregnant women. By recognizing and explaining Chadwick's sign, nurses can provide accurate information to their clients, reassure them about normal pregnancy changes, and promote overall maternal well-being.
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 nurse midwife pushes on the mother's abdomen and then feels a rebound movement, this indicates that the fetus is floating in the amniotic fluid and can be pushed back and forth. This finding is significant as it confirms the presence of a live fetus and helps in assessing fetal well-being. Option A) The nurse midwife saw that the mucous plug was intact is incorrect because ballottement does not involve the assessment of the mucous plug. Option C) The nurse midwife palpated the fetal parts through the uterine wall is incorrect as it describes a different technique called palpation, not ballottement. 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. Educationally, understanding the concept of ballottement is crucial for healthcare professionals working in obstetrics as it aids in assessing fetal well-being and confirming pregnancy. It is essential for nurses and midwives to be able to differentiate between various techniques used in prenatal monitoring to provide accurate care to pregnant clients.
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: The correct answer is B) Refer the client to a lactation consultant for advice. Inverted nipples can pose a challenge to breastfeeding, but they do not necessarily prevent a woman from successfully breastfeeding her baby. A lactation consultant is trained to provide support, guidance, and practical techniques to help mothers with various breastfeeding issues, including inverted nipples. Option A is incorrect because it is essential to provide support and encouragement to the client rather than discouraging her from attempting to breastfeed. Breastfeeding is a valuable bonding experience and provides numerous health benefits for both the mother and the baby. Option C is incorrect as notifying the labor room about the client's inverted nipples is not necessary at this point. This action does not address the client's immediate concerns or provide her with the support she needs to breastfeed successfully. Option D is incorrect because teaching the woman exercises to exert her nipples may not be effective or necessary. It is crucial to involve a specialist like a lactation consultant who can provide individualized support and guidance based on the client's specific needs and circumstances. In an educational context, nurses should be aware of common breastfeeding challenges like inverted nipples and know how to support and guide women through these issues. Referring the client to a lactation consultant demonstrates a holistic and patient-centered approach to care, ensuring the best possible outcome for both the mother and the 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 a 34-week gestation client, the nurse would view polycythemia as a normal finding when evaluating laboratory reports. Polycythemia is an expected physiological response in a fetus due to intrauterine hypoxia, which stimulates increased red blood cell production. This condition helps the fetus compensate for potential oxygen deprivation during birth. Therefore, it is considered a normal finding in a 34-week gestation client. Anemia (Option A) would not be considered normal in this context because it indicates a deficiency in red blood cells, which can lead to inadequate oxygen delivery to the fetus. Thrombocytopenia (Option B) is a low platelet count and can lead to bleeding issues in the mother or fetus. Hyperbilirubinemia (Option D) is an excess of bilirubin in the blood, which can indicate liver or other underlying issues in the mother or fetus. Understanding normal physiological changes during pregnancy and how they can impact laboratory values is crucial for nurses caring for pregnant clients. By recognizing what is normal and abnormal, nurses can intervene promptly to ensure 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 A) "My husband is ready for the pregnancy to end so that we can have sex again." This response indicates a concern related to the woman's husband's readiness for the pregnancy to progress, which is essential for monitoring the couple's relationship dynamics and potential stressors. Option B) "My husband has gained quite a bit of weight during this pregnancy" is incorrect as it focuses on the husband's physical changes rather than his emotional response to the pregnancy, which is more crucial for assessment. Option C) "My husband seems more worried about our finances now than before the pregnancy" is incorrect as it addresses financial concerns rather than the husband's emotional adjustment to the pregnancy. Option D) "My husband plays his favorite music for my belly so the baby will learn to like it" is incorrect as it pertains to a supportive behavior rather than the husband's personal feelings and readiness for the pregnancy to progress. Educationally, understanding the emotional responses of both partners during pregnancy is vital for providing comprehensive care. Monitoring the husband's reactions can offer insights into potential stressors or support needs within the relationship, ultimately impacting the overall well-being of the mother and the developing fetus.