ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
A nurse is caring for a pregnant patient who is at 22 weeks gestation and reports experiencing vaginal bleeding. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C: Assess the bleeding and notify the healthcare provider immediately. This is the priority action because vaginal bleeding during pregnancy can indicate serious complications such as placental abruption or preterm labor. By assessing the bleeding, the nurse can determine the severity and nature of the bleeding to provide crucial information to the healthcare provider for prompt intervention. Notifying the healthcare provider immediately ensures timely assessment and appropriate management to protect the health and well-being of both the mother and fetus. Encouraging rest (choice A) may be appropriate, but assessing the bleeding and notifying the healthcare provider take precedence. Monitoring fetal heart rate (choice B) is important but secondary to assessing the bleeding. Instructing the patient to use a sanitary pad (choice D) is not sufficient to address the potential underlying causes of vaginal bleeding.
Question 2 of 5
A pregnant patient at 26 weeks gestation reports pain in the lower abdomen and back. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to rest and monitor for changes in symptoms. At 26 weeks gestation, lower abdominal and back pain could indicate preterm labor. The first step is to have the patient rest to reduce uterine activity. Monitoring for changes in symptoms is crucial to assess if the pain is worsening and if there are any signs of preterm labor. Performing a pelvic exam (B) could potentially stimulate contractions and should be avoided unless absolutely necessary. Administering pain medication (C) does not address the underlying cause and could mask symptoms. Assessing blood pressure for signs of preeclampsia (D) is important but not the first priority in this scenario.
Question 3 of 5
The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
Question 4 of 5
The nurse is caring for a pregnant patient who is 32 weeks gestation and reports a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Assess the color, consistency, and odor of the discharge. This is the priority action because sudden increase in vaginal discharge could indicate potential issues such as infection or preterm labor. By assessing the characteristics of the discharge, the nurse can gather important information to determine the underlying cause and provide appropriate interventions. Choice B is incorrect as simply instructing the patient to rest and monitor the discharge does not address the potential seriousness of the situation. Choice C is incorrect as increasing fluid intake may not necessarily reduce the discharge and could potentially worsen the situation if there is an underlying issue. Choice D is incorrect as performing a pelvic exam should not be the initial priority without first assessing the characteristics of the discharge.
Question 5 of 5
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.