ATI RN
Monitoring Baby During Labour Questions
Question 1 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.
Question 2 of 5
The nurse is assessing a pregnant patient at 28 weeks gestation who reports increased vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Assess the characteristics of the discharge, including color and odor. This is the priority action because it allows the nurse to gather important information to determine if the increased vaginal discharge is normal or if it may indicate an infection or other issue. By assessing the characteristics, such as color and odor, the nurse can make an informed decision on the next steps for the patient's care. Choice B is incorrect because simply monitoring for changes without assessing the characteristics of the discharge may delay necessary interventions. Choice C is incorrect because performing a pelvic exam should not be the first action without first assessing the characteristics of the discharge. Choice D is incorrect because calling the healthcare provider immediately may not be necessary if the discharge is normal.
Question 3 of 5
A pregnant patient is at 30 weeks gestation and is experiencing difficulty breathing, especially when lying flat. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A - Encourage the patient to rest in an upright position. This is the priority action because the patient is likely experiencing supine hypotensive syndrome due to pressure on the vena cava when lying flat. This can compromise blood flow to the fetus. By having the patient rest in an upright position, the pressure on the vena cava is reduced, improving blood flow and oxygenation for both the patient and the fetus. Administering oxygen and preparing for delivery (option B) is not the immediate priority. Monitoring fetal heart rate (option C) is important but not the initial action. Instructing the patient to take deep breaths and stay in bed (option D) does not address the underlying issue of supine hypotensive syndrome.
Question 4 of 5
A nurse is caring for a pregnant patient who is 28 weeks gestation and has been diagnosed with gestational diabetes. What is the nurse's priority teaching for this patient?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose levels regularly and follow a balanced diet. This is the priority teaching for a pregnant patient with gestational diabetes because it focuses on managing blood sugar levels effectively. Regular monitoring helps the patient understand how their body responds to different foods and activities. Following a balanced diet helps maintain stable blood sugar levels and provides essential nutrients for the baby's development. A: Encouraging vigorous exercise may not be safe during pregnancy, especially for a patient with gestational diabetes. C: Limiting fluid intake is not a priority teaching for gestational diabetes and may lead to dehydration, which can be harmful during pregnancy. D: Recommending insulin therapy immediately is not the first-line treatment for gestational diabetes. Lifestyle modifications like diet and exercise are usually tried first.
Question 5 of 5
The nurse is educating a pregnant patient on the importance of maintaining a balanced diet during pregnancy. Which of the following statements by the patient indicates effective teaching?
Correct Answer: C
Rationale: Rationale: Choice C is correct because it emphasizes the importance of eating a variety of nutrient-dense foods and avoiding processed foods. This approach ensures the pregnant patient receives essential nutrients for her health and the baby's development. Variety helps cover all necessary nutrients, while avoiding processed foods reduces the intake of unhealthy additives. This balanced diet promotes optimal health outcomes for both the mother and the baby. Summary of Incorrect Choices: A: Avoiding all carbohydrates is not recommended as they are a vital energy source and cutting them out completely can lead to nutritional deficiencies. B: Eating extra food indiscriminately can result in excessive weight gain and complications. The focus should be on nutrient-dense foods, not just quantity. D: Focusing solely on protein neglects other important nutrients needed during pregnancy. A well-rounded diet is essential for overall health.