ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.
Correct Answer: A
Rationale: In the scenario presented, the correct assessment that the nurse should inform the client about during her first prenatal physical examination is option A) Pap smear. This is because a Pap smear is a standard screening test recommended for pregnant women during their first prenatal visit to check for cervical cancer or abnormalities. This test is important for early detection and management if any issues are found, ensuring the best possible outcomes for both the mother and the baby. Option B) Mammogram is not typically performed during the first prenatal visit unless there are specific risk factors or indications present. Mammograms are usually recommended for women over the age of 40 as a routine screening for breast cancer. Option C) Glucose challenge test is typically performed later in pregnancy around 24-28 weeks to screen for gestational diabetes, not during the first prenatal visit. Option D) Biophysical profile is a test that assesses the baby's well-being and is usually done in the second or third trimester, not during the initial prenatal visit. Educationally, understanding the rationale behind each assessment is crucial for nurses to provide comprehensive care to pregnant women. By knowing when and why each test is performed, nurses can educate their clients effectively, promote early detection of any issues, and ensure appropriate follow-up care. This knowledge enhances the quality of care provided and contributes to positive maternal and fetal outcomes.
Question 2 of 5
The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.
Correct Answer: A
Rationale: In this scenario, option A is the correct answer that the nurse should highlight for the physician. At 17 weeks' gestation, feeling fetal movement is an important milestone in pregnancy. The absence of fetal movement could indicate a potential issue that needs further evaluation to ensure the well-being of the fetus. Option B, fundal height at the umbilicus at 24 weeks' gestation, is within the normal range for that gestational age and does not raise immediate concerns. Option C, excessive salivation at 27 weeks' gestation, is likely due to hormonal changes in pregnancy and typically does not pose a significant risk to the mother or baby. Option D, experiencing uterine cramping at 34 weeks' gestation, could be a normal part of the third trimester as the body prepares for labor. However, persistent or severe cramping would warrant further assessment. Educationally, this question highlights the importance of monitoring fetal movements as a vital sign of fetal well-being during pregnancy. It emphasizes the role of healthcare providers in recognizing deviations from normal findings and taking appropriate actions to ensure optimal outcomes for both the mother and baby. Understanding these key indicators is crucial for nurses working in obstetric settings to provide comprehensive care to pregnant clients.
Question 3 of 5
A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?
Correct Answer: A
Rationale: In this scenario, the correct assessment the nurse should make is A) Dietary evaluation. Leg cramps can be caused by various factors, including electrolyte imbalances like low levels of potassium, calcium, or magnesium. By conducting a dietary evaluation, the nurse can assess the woman's intake of these essential minerals and identify any deficiencies that could be contributing to the leg cramps. Option B) Goodell’s sign and option C) Hegar’s sign are both physical assessments used in obstetrics and gynecology to evaluate cervical changes during pregnancy, which are not relevant to the woman's complaint of leg cramps. Option D) Posture evaluation is also not directly related to the issue of leg cramps upon waking. In an educational context, understanding the importance of conducting a thorough assessment is crucial for nurses to provide holistic care to their patients. By choosing the correct assessment, the nurse can address the root cause of the woman's leg cramps and provide appropriate interventions to alleviate her symptoms and improve her quality of life.
Question 4 of 5
The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits during the latter half of the pregnancy.
Correct Answer: A
Rationale: The correct answer is A) During the third trimester I may experience frequent urination. This is because, as the pregnancy progresses, the growing uterus puts pressure on the bladder, leading to increased frequency of urination. This is a common and normal symptom in the later stages of pregnancy. Option B) During the third trimester I may experience heartburn is incorrect because heartburn is more commonly experienced in the second trimester due to hormonal changes and pressure from the growing uterus on the stomach. Option C) During the third trimester I may experience nagging backaches is incorrect as backaches are common throughout pregnancy due to the shifting center of gravity and increased strain on the back, not just limited to the third trimester. Option D) During the third trimester I may experience persistent headache is incorrect because persistent headaches are not typically considered a normal symptom of pregnancy and should be evaluated by a healthcare provider for underlying causes. Educationally, understanding the normal physiological changes and common discomforts during pregnancy is crucial for providing anticipatory guidance and reassurance to pregnant women. It helps nurses and healthcare providers support expectant mothers in managing their symptoms and differentiating between normal experiences and potentially concerning issues.
Question 5 of 5
A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?
Correct Answer: C
Rationale: The correct answer is C) Vaginal and rectal cultures. During prenatal visits at 36 weeks’ gestation, it is important to perform vaginal and rectal cultures to screen for Group B Streptococcus (GBS) colonization. GBS colonization in pregnant women can pose a risk of transmitting the bacteria to the newborn during delivery, which can lead to serious infections in the baby. By identifying GBS colonization during prenatal care, appropriate measures can be taken during labor to reduce the risk of transmission to the newborn, such as administering antibiotics. Option A) Glucose challenge test is typically done earlier in pregnancy to screen for gestational diabetes and is not specifically indicated at 36 weeks' gestation. Option B) Amniotic fluid volume assessment is usually performed in the third trimester to monitor amniotic fluid levels, but it is not a routine test at 36 weeks unless there are specific concerns such as decreased fetal movements. Option D) Karyotype analysis is a genetic test that is not routinely done during prenatal visits unless there are specific indications or risk factors identified through other testing or screening. Educationally, understanding the rationale behind each prenatal test is crucial for healthcare professionals involved in maternal-fetal monitoring. It ensures that appropriate screenings are conducted at the right times to optimize maternal and fetal health outcomes. Regular prenatal visits and appropriate testing are essential components of prenatal care to monitor and address any potential risks during pregnancy.