ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A nurse is assessing a pregnant patient at 28 weeks gestation who reports occasional dizziness and fainting. What should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: The patient's blood pressure and hydration status. This is the priority because dizziness and fainting can be signs of hypotension or dehydration, which can be dangerous during pregnancy. Checking blood pressure and hydration status will help determine if these symptoms are related to these issues. B: Assessing fetal heart rate and activity levels is important but not the priority in this scenario as the patient's symptoms are more likely related to her own health rather than the fetus. C: Checking hemoglobin and hematocrit levels is important for assessing anemia but is not the immediate concern in a patient experiencing dizziness and fainting. D: Weight gain and diet history are important aspects of prenatal care but are not the priority when dealing with symptoms of dizziness and fainting.
Question 2 of 5
A nurse is educating a pregnant patient who is at 30 weeks gestation about safe physical activity. Which of the following recommendations should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B because engaging in moderate exercise like walking or swimming is safe and beneficial for pregnant women at 30 weeks gestation. Moderate exercise helps maintain health, improves circulation, reduces stress, and prepares the body for labor. Strenuous exercise (A) can be risky and may lead to complications. Avoiding all physical activity (C) can result in deconditioning and potential complications. High-impact exercises (D) can be too intense and pose a risk of injury during pregnancy. Prioritizing moderate exercise aligns with current guidelines for safe physical activity during pregnancy.
Question 3 of 5
A pregnant patient is at 24 weeks gestation and reports feeling nauseous after eating. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to eat smaller, more frequent meals and avoid greasy foods. This recommendation helps manage nausea during pregnancy by preventing the stomach from becoming too full, which can exacerbate symptoms. Eating smaller, more frequent meals helps maintain stable blood sugar levels and prevents hunger, which can trigger nausea. Avoiding greasy foods reduces the likelihood of indigestion and discomfort. Explanation of why the other choices are incorrect: A: Instructing the patient to take over-the-counter anti-nausea medications may not be suitable during pregnancy without consulting a healthcare provider due to potential risks to the fetus. C: Recommending the patient to rest in bed may provide temporary relief but does not address the underlying cause of nausea and may not be practical for managing symptoms throughout the day. D: Advising the patient to reduce fluid intake may lead to dehydration, which is particularly concerning during pregnancy. Adequate hydration is important for both the mother and the developing fetus.
Question 4 of 5
A pregnant patient at 32 weeks gestation is concerned about gestational diabetes. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A because it addresses the immediate concern of managing blood glucose levels in a pregnant patient with gestational diabetes. Encouraging smaller, more frequent meals helps stabilize blood sugar levels and prevent spikes. Monitoring blood glucose levels is crucial for timely interventions. Administering insulin (B) may be necessary but not the priority. A high-protein, low-carb diet (C) is not typically recommended for gestational diabetes. Limiting fluid intake (D) is not appropriate as hydration is important during pregnancy. In summary, choice A is the priority as it directly addresses the patient's concern and promotes optimal blood sugar control during pregnancy.
Question 5 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and reports pain in the lower abdomen and back. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A because pain in the lower abdomen and back could indicate preterm labor at 30 weeks gestation. The first step is to assess for signs of preterm labor, such as regular contractions, to determine the urgency of the situation. Administering pain medication (B) without assessing the cause can mask symptoms. Encouraging physical activity (C) may worsen preterm labor. Instructing the patient to lie flat on her back (D) can decrease blood flow to the uterus and is not recommended in late pregnancy.