ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A nurse is caring for a patient in labor who is receiving oxytocin for induction. Which of the following is a priority assessment for the nurse?
Correct Answer: A
Rationale: The correct answer is A: Fetal heart rate monitoring. This is a priority assessment because oxytocin can cause uterine hyperstimulation, leading to fetal distress. Monitoring the fetal heart rate allows early detection of any signs of fetal compromise. Choices B, C, and D are important assessments but not the priority in this situation. Monitoring fluid intake and output, uterine tone, and maternal blood pressure are also crucial but do not directly assess fetal well-being, which is the primary concern during labor induction with oxytocin.
Question 2 of 5
A 30-year-old pregnant patient is at 36 weeks gestation and expresses concerns about swelling in her legs. Which of the following assessments is most important for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Examine the legs for any signs of deep vein thrombosis (DVT). At 36 weeks gestation, pregnant women are at higher risk for DVT due to increased blood volume and pressure on the veins from the growing uterus. DVT can be life-threatening if not detected early. Assessing for any signs of DVT such as redness, warmth, swelling, or pain in the legs is crucial for prompt intervention. Incorrect choices: A: Assessing weight gain is important but not the priority in this situation where DVT is a concern. C: Instructing the patient to elevate her legs and rest can help with swelling but does not address the potential serious complication of DVT. D: Evaluating dietary intake of sodium is not the priority in this situation where DVT is a concern.
Question 3 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 4 of 5
The nurse is caring for a pregnant patient who has been diagnosed with gestational diabetes. Which of the following interventions should be implemented first?
Correct Answer: B
Rationale: The correct answer is B because instructing the patient to follow a diabetic diet and monitor blood glucose levels is the initial intervention for managing gestational diabetes. This step is crucial in controlling blood glucose levels and preventing complications for both the mother and the baby. Administering insulin (option A) may be necessary but is not the first step. Scheduling a cesarean delivery (option C) is not indicated unless there are specific obstetric indications. Starting the patient on antihypertensive medications (option D) is not relevant for managing gestational diabetes unless the patient also has hypertension.
Question 5 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.