ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
A nurse is caring for a pregnant patient who is 30 weeks gestation and is diagnosed with mild preeclampsia. Which of the following should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood pressure and assess for protein in the urine. This is crucial in the care of a pregnant patient with mild preeclampsia at 30 weeks gestation. Monitoring blood pressure helps in assessing the severity of the condition and guiding treatment. Assessing for protein in the urine confirms the diagnosis and helps in monitoring kidney function and overall disease progression. Explanation of why the other choices are incorrect: A: Administering magnesium sulfate is typically indicated for severe preeclampsia to prevent seizures, not mild preeclampsia. C: Encouraging rest and restricted activity can help manage symptoms but is not a primary intervention for mild preeclampsia. D: Daily blood glucose monitoring is important for gestational diabetes, not specifically for mild preeclampsia.
Question 2 of 5
The nurse is caring for a pregnant patient who is 30 weeks gestation and has a BMI of 32. Which of the following complications should the nurse monitor for more closely?
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A pregnant patient with a BMI of 32 is considered obese, which increases the risk of developing gestational diabetes and preeclampsia. Gestational diabetes is more likely in overweight women and can lead to complications for both the mother and baby. Preeclampsia is also more common in obese women and can result in high blood pressure and organ damage. Monitoring for these complications is crucial to ensure the well-being of both the mother and baby. Incorrect choices: B: Hyperemesis gravidarum and miscarriage - These complications are not directly related to the patient's weight or BMI. C: Iron-deficiency anemia and urinary tract infections - While these complications can occur in pregnancy, they are not specifically associated with the patient's BMI. D: Gestational hypertension and placenta previa - While gestational hypertension can be a concern in obese patients, placenta previa is not directly linked to
Question 3 of 5
A pregnant patient is at 25 weeks gestation and is concerned about her risk of preterm labor. Which of the following symptoms should the nurse educate the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C: Painful, regular contractions. At 25 weeks gestation, experiencing painful, regular contractions could indicate preterm labor, which requires immediate medical attention to prevent premature birth. Mild back pain and cramping (choice A) are common in pregnancy and may not necessarily indicate preterm labor. Increased vaginal discharge (choice B) is also common in pregnancy and not typically a sign of preterm labor. Feeling of pelvic pressure after physical activity (choice D) is common due to the growing uterus and ligament stretching, but it is not a definitive sign of preterm labor unless accompanied by other symptoms like contractions.
Question 4 of 5
A pregnant patient is at 32 weeks gestation and reports a sudden headache and visual disturbances. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because sudden headache and visual disturbances in a pregnant patient at 32 weeks gestation could indicate preeclampsia. Assessing blood pressure and checking for protein in the urine are crucial steps in diagnosing preeclampsia, a serious condition that requires immediate medical attention to prevent complications for both the mother and baby. Encouraging rest, administering pain medication, or suggesting caffeinated beverages may mask symptoms but not address the underlying issue of preeclampsia. Therefore, prompt assessment and monitoring of blood pressure and urine protein levels are essential in this scenario.
Question 5 of 5
The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?
Correct Answer: D
Rationale: Step 1: The correct answer is D because hospital support for breastfeeding is a current trend that has significantly changed since the early 1980s. Back then, breastfeeding support in hospitals was minimal or nonexistent. Step 2: Hospitals now provide extensive support for breastfeeding, including lactation consultants, education, and resources to help new mothers succeed in breastfeeding. Step 3: This change in practice is a significant departure from the past and reflects the growing awareness of the importance of breastfeeding for both the mother and the baby's health. Step 4: In contrast, choices A, B, and C are not as significant changes or trends compared to the evolution of hospital support for breastfeeding. Fetal monitoring, postpartum stay duration, and family presence during cesarean births have been around for a while and have seen some modifications, but they are not as dramatic as the shift in breastfeeding support.