ATI RN
Maternal Monitoring Questions
Question 1 of 5
A nurse is caring for a pregnant patient who is at 28 weeks gestation and has a history of hypertension. Which of the following interventions is the most appropriate to prevent complications?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure regularly and check for protein in the urine. This is the most appropriate intervention because the patient has a history of hypertension, which can lead to complications like preeclampsia. Regular blood pressure monitoring and urine protein checks are essential in detecting early signs of preeclampsia, allowing for timely intervention to prevent complications. Choice A: Encouraging the patient to increase salt intake would worsen hypertension and increase the risk of complications. Choice C: Increasing physical activity and exercise may not be safe for a pregnant patient with hypertension and can potentially raise blood pressure. Choice D: Limiting fluid intake can lead to dehydration and is not recommended during pregnancy, especially with a history of hypertension.
Question 2 of 5
A nurse is assessing a pregnant patient who is at 34 weeks gestation and reports swelling in the legs and feet. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 34 weeks gestation, swelling in the legs and feet can be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. The priority action is to assess for signs of preeclampsia, as it can lead to severe complications for both the mother and the baby. Monitoring blood pressure is crucial in identifying preeclampsia early. Choice B is incorrect because while elevating the feet may provide some relief from swelling, it does not address the potential underlying issue of preeclampsia. Choice C is incorrect because administering a diuretic without assessing for preeclampsia can be dangerous and potentially harmful to the patient and the baby. Choice D is incorrect because reducing fluid intake can lead to dehydration, which is not a recommended approach in pregnancy without proper assessment and guidance from healthcare providers.
Question 3 of 5
The nurse is caring for a pregnant patient who is 34 weeks gestation and is concerned about the safety of using herbal remedies. What is the nurse's most appropriate response?
Correct Answer: B
Rationale: The correct answer is B because pregnant patients should avoid all herbal remedies without consulting their healthcare provider. During pregnancy, there can be potential risks associated with herbal remedies, as their safety and efficacy are not well studied. It is crucial for healthcare providers to assess the individual patient's medical history and current health status before recommending any herbal remedies. Choice A is incorrect because not all herbal remedies are safe during pregnancy, regardless of being natural. Choice C is incorrect because herbal remedies can pose risks throughout pregnancy, not just in the first trimester. Choice D is incorrect because the safety of herbal remedies cannot be guaranteed solely by purchasing them from a reputable source. Consulting a healthcare provider is essential to ensure the safety of both the mother and the baby.
Question 4 of 5
The nurse is providing prenatal education to a pregnant patient at 20 weeks gestation. Which of the following actions should the nurse prioritize?
Correct Answer: D
Rationale: The correct answer is D: Discussing the signs and symptoms of preterm labor. This is crucial at 20 weeks gestation as preterm labor can occur. By educating the patient on the signs and symptoms, the nurse can empower her to recognize and seek prompt medical attention if needed. Assessing for gestational hypertension (A) is important but typically done later in pregnancy. Encouraging avoidance of all forms of exercise (B) is not recommended as moderate exercise is beneficial during pregnancy. Reviewing newborn care practices and breastfeeding options (C) is important but not the priority at this stage.
Question 5 of 5
A pregnant patient at 28 weeks gestation reports lightheadedness and fainting when standing up. What is the most likely cause of these symptoms?
Correct Answer: B
Rationale: The correct answer is B: Increased blood volume and decreased blood pressure. At 28 weeks gestation, the pregnant patient's blood volume significantly increases to support the developing fetus, causing a relative decrease in blood pressure when standing up (orthostatic hypotension). This can lead to lightheadedness and fainting. Dehydration and electrolyte imbalance (choice A) can contribute to these symptoms but are less likely in a pregnant patient. Iron-deficiency anemia (choice C) can cause similar symptoms but is less common at 28 weeks gestation. Hyperglycemia from gestational diabetes (choice D) typically presents with other symptoms like excessive thirst and urination, rather than lightheadedness and fainting.