ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A nurse is assessing a pregnant patient at 34 weeks gestation who reports feeling itchy and has noticed jaundice. Which of the following conditions should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Cholestasis of pregnancy. This condition presents with itching, especially on the palms and soles, and jaundice. It is more common in the third trimester. Cholestasis of pregnancy is a liver condition that can lead to complications for both the mother and the baby if not managed promptly. Gestational diabetes (Choice A) presents with high blood sugar levels. Preeclampsia (Choice B) is characterized by high blood pressure and protein in the urine. Hyperthyroidism (Choice D) involves an overactive thyroid gland, which can present with symptoms such as weight loss and palpitations.
Question 2 of 5
The nurse is caring for a pregnant patient who has a BMI of 30. Which of the following complications is the patient at increased risk for during pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Preeclampsia and gestational diabetes. A pregnant patient with a BMI of 30 is considered obese, increasing the risk of developing preeclampsia and gestational diabetes. Obesity is a known risk factor for these complications due to the increased strain on the body's systems. Preeclampsia is characterized by high blood pressure and protein in the urine, which can lead to serious complications for both the mother and the baby. Gestational diabetes is a type of diabetes that develops during pregnancy and can lead to complications for both the mother and the baby if not managed properly. The other choices (B, C, D) are not directly associated with obesity or a BMI of 30 during pregnancy, making them incorrect.
Question 3 of 5
The nurse is providing prenatal education to a pregnant patient about the signs of labor. Which of the following symptoms should the nurse instruct the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C: Regular contractions every 5 minutes for 1 hour. This is a sign of active labor and indicates that the patient should seek immediate medical attention. Contractions at this frequency and duration suggest that labor is progressing and the patient should go to the hospital. Choices A, B, and D are not indicative of active labor and do not require immediate medical attention. Feeling pressure in the lower abdomen may be a normal part of pregnancy. A bloody show or loss of the mucous plug can be early signs of labor but do not require immediate attention unless accompanied by other symptoms. A sudden increase in fetal movements is generally considered a positive sign of fetal well-being.
Question 4 of 5
A nurse is educating a pregnant patient about warning signs to report during pregnancy. Which of the following statements indicates that the teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because sudden increase in swelling, especially in hands and face, can indicate preeclampsia, a serious condition during pregnancy. Swelling in these areas can be a sign of fluid retention and increased blood pressure. Prompt reporting and intervention are crucial to prevent complications for both the mother and the baby. Choices B, C, and D are incorrect because: B: Waiting until after the due date to report concerns can lead to missed opportunities for early intervention and can be dangerous for both the mother and the baby. C: Changes in fetal movement should be reported immediately, not just after the third trimester, as they can indicate fetal distress. D: Headaches and blurry vision, even if not severe, can be symptoms of preeclampsia or other serious conditions that require immediate attention. Waiting for symptoms to worsen can be harmful.
Question 5 of 5
A pregnant patient reports nausea and vomiting and asks the nurse about ways to manage these symptoms. Which of the following suggestions should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Avoid foods with strong smells and eat small, frequent meals. This suggestion is appropriate as it helps manage nausea and vomiting in pregnancy. Avoiding strong smells can reduce triggers for nausea, and eating small, frequent meals helps maintain stable blood sugar levels. This approach prevents the stomach from becoming too full or too empty, which can trigger nausea. A: Eating large meals can exacerbate nausea and vomiting due to increased stomach distention. B: Taking anti-nausea medication without consulting a healthcare provider is not safe during pregnancy as it may harm the fetus. D: Lying down immediately after meals can worsen symptoms by promoting reflux and indigestion. In summary, Option C is the best choice as it addresses the symptoms of nausea and vomiting in pregnancy effectively.