ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A nurse is caring for a laboring person who is experiencing strong contractions. What is the most important intervention to support the laboring person during this time?
Correct Answer: A
Rationale: The correct answer is A: provide comfort measures. Comfort measures such as massage, positioning, and relaxation techniques help the laboring person cope with the pain and intensity of contractions. By providing comfort, the nurse can help reduce stress and anxiety, promoting a more positive labor experience. Choice B (assist with breathing exercises) can be helpful, but comfort measures are more essential for overall well-being during labor. Choice C (provide reassurance and comfort) is similar to the correct answer but lacks the specific action of providing comfort measures. Choice D (administer antibiotics) is irrelevant to the management of strong contractions and is not indicated unless there is a specific medical reason for antibiotics.
Question 2 of 5
A nurse is caring for a laboring person who is experiencing strong contractions. What is the most important intervention to support the laboring person during this time?
Correct Answer: A
Rationale: The correct answer is A: provide comfort measures. Comfort measures such as massage, positioning, and relaxation techniques help the laboring person cope with the pain and intensity of contractions. By providing comfort, the nurse can help reduce stress and anxiety, promoting a more positive labor experience. Choice B (assist with breathing exercises) can be helpful, but comfort measures are more essential for overall well-being during labor. Choice C (provide reassurance and comfort) is similar to the correct answer but lacks the specific action of providing comfort measures. Choice D (administer antibiotics) is irrelevant to the management of strong contractions and is not indicated unless there is a specific medical reason for antibiotics.
Question 3 of 5
A nurse is caring for a laboring person who has been pushing for several hours without progress. What is the most appropriate intervention?
Correct Answer: B
Rationale: The correct answer is B: assist with vacuum extraction. This intervention is appropriate when prolonged pushing has not resulted in progress during labor. Vacuum extraction helps facilitate the delivery of the baby by applying suction to the baby's head to assist with pulling them out. It is less invasive than a cesarean section and forceps delivery, making it a safer option in this scenario. Performing a cesarean section (choices A and C) would be considered if vacuum extraction is unsuccessful or contraindicated due to specific factors. Forceps delivery (choice D) is another option but is generally considered more invasive and carries higher risks compared to vacuum extraction.
Question 4 of 5
The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity. Rationale: 1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development. 2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth. 3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes. Summary: A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure. C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy. D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.
Question 5 of 5
A pregnant patient is concerned about the safety of taking over-the-counter (OTC) medications. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of consulting a healthcare provider before taking any OTC medications during pregnancy. This is crucial because not all OTC medications are safe during pregnancy, and individual health conditions can affect their safety. Choice A is incorrect because not all OTC medications are safe without consulting a healthcare provider. Choice C is incorrect as it oversimplifies the safety of OTC medications during pregnancy. Choice D is incorrect because not only prescription medications are safe during pregnancy; some OTC medications can also be safe, but it is essential to consult a healthcare provider to ensure safety.