ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A nurse is caring for a pregnant patient who is at 26 weeks gestation and reports a sudden decrease in fetal movement. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink a sugary beverage and count fetal movements. This action is appropriate as decreased fetal movement can indicate fetal distress, and the sugary beverage can stimulate the baby to move. If the baby responds with increased movements, it indicates a reassuring fetal status. If there is no improvement, further evaluation can be pursued. Incorrect choices: B: Monitoring blood pressure is not the priority in this situation as the main concern is fetal movement. C: Performing a nonstress test is not the first action to take as it requires time and resources, which may delay immediate intervention. D: While eventually contacting the healthcare provider is important, the immediate action should be to assess fetal well-being by encouraging fetal movements.
Question 2 of 5
The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?
Correct Answer: B
Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is the most important aspect of care for a pregnant patient with gestational diabetes because it helps control blood sugar levels, reducing the risk of complications for both the mother and the baby. Monitoring blood glucose levels ensures that the patient's blood sugar remains within the target range, while maintaining a balanced diet helps provide essential nutrients without causing spikes in blood sugar levels. A: Maintaining a healthy weight gain during pregnancy is important but not as crucial as monitoring blood glucose levels for a patient with gestational diabetes. C: Increasing fluid intake is important for overall health during pregnancy, but it is not the most critical aspect of care for a patient with gestational diabetes. D: Administering insulin may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and maintaining a balanced diet.
Question 3 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and is concerned about the possibility of gestational diabetes. Which of the following symptoms should the nurse educate the patient to report?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. This is because these symptoms are indicative of hyperglycemia, which is common in gestational diabetes. Increased thirst occurs due to the body trying to flush out excess sugar through urine, leading to frequent urination. This should be reported to the healthcare provider for further evaluation and management. Other choices are incorrect: B: Sudden weight loss and increased energy are not typical symptoms of gestational diabetes. Weight loss can occur in uncontrolled diabetes, but it is not a common symptom in gestational diabetes. C: Extreme fatigue and headaches can be non-specific symptoms and are not necessarily related to gestational diabetes. D: Decreased fetal movement and nausea are more commonly associated with other complications in pregnancy, such as placental insufficiency or preeclampsia, rather than gestational diabetes.
Question 4 of 5
A pregnant patient is 28 weeks gestation and reports feeling nauseated. What is the nurse's priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Encourage the patient to eat smaller, more frequent meals. This is the priority intervention because nausea during pregnancy, especially in the second trimester, is common and can be alleviated by eating smaller, more frequent meals to prevent fluctuations in blood sugar levels. Ginger tea (A) may help with nausea, but ensuring proper nutrition through small, frequent meals is the priority. Recommending larger meals (B) can worsen nausea due to increased stomach distention. Instructing the patient to avoid all foods and drinks (D) is not appropriate as it can lead to dehydration and nutrient deficiencies.
Question 5 of 5
A nurse is caring for a pregnant patient who is at 20 weeks gestation and reports experiencing leg cramps. What is the nurse's most appropriate intervention?
Correct Answer: B
Rationale: The correct answer is B because elevating the legs and performing leg stretches can help improve circulation and relieve leg cramps during pregnancy. This intervention promotes blood flow and prevents muscle fatigue. Calcium supplements (choice A) may be helpful for preventing leg cramps in some cases but are not the first-line intervention. Instructing the patient to rest (choice C) may worsen leg cramps due to decreased circulation. Administering pain medication (choice D) should be avoided unless necessary, as it does not address the root cause of the leg cramps.