ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A nurse is caring for a pregnant patient who is at 36 weeks gestation and reports that her baby has not moved as much as usual. What should the nurse instruct the patient to do first?
Correct Answer: A
Rationale: The correct answer is A: Lie on her left side and drink a cold beverage to stimulate movement. This is because changing positions can encourage fetal movement due to the change in gravity and blood flow. Additionally, the cold beverage may stimulate the baby to move. Option B suggests resting without actively trying to stimulate movement, which may delay necessary action. Option C advises immediate contact with the healthcare provider, which could be an overreaction at this stage. Option D delays action and may not address the immediate concern of decreased fetal movement.
Question 2 of 5
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
Correct Answer: D
Rationale: Step 1: The Safe to Sleep campaign aims to educate parents on safe sleep practices to reduce the risk of SIDS. Step 2: Given the patient's concerns about infant mortality and SIDS, providing education on safe sleep practices is pertinent. Step 3: The patient had an uncomplicated pregnancy and delivery, so other interventions like ECMO or surfactant are not relevant. Step 4: The Baby-Friendly Hospital Initiative focuses on promoting breastfeeding, which is not directly related to reducing the risk of SIDS. Step 5: Therefore, explaining the Safe to Sleep campaign to the patient is the most helpful in addressing her concerns and promoting infant safety.
Question 3 of 5
A pregnant patient at 30 weeks gestation reports swelling in her legs and feet. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Elevate the legs while sitting or lying down. This intervention helps reduce swelling by promoting venous return and reducing fluid accumulation in the lower extremities. Elevating the legs helps gravity assist in returning blood back to the heart, reducing edema. Increasing fluid intake (A) may worsen swelling. Lying flat on the back (B) can restrict blood flow and worsen swelling. Limiting physical activity (D) can lead to decreased circulation and exacerbate swelling.
Question 4 of 5
A pregnant patient at 30 weeks gestation reports feeling dizzy when standing. What should the nurse instruct the patient to do?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting or lying position to avoid dizziness. This recommendation is appropriate because pregnant patients often experience dizziness due to changes in blood pressure and circulation. Rising slowly helps prevent sudden drops in blood pressure, which can lead to dizziness. Lying flat on the back can worsen dizziness by reducing blood flow to the brain. Increasing fluid intake is generally recommended during pregnancy but may not directly address the issue of dizziness. Avoiding physical activity entirely is not necessary and may not address the underlying cause of the dizziness.
Question 5 of 5
The nurse is caring for a pregnant patient who is 26 weeks gestation and has a history of gestational diabetes. Which of the following actions is most important for the nurse to monitor during this pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose levels and fetal growth. Monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. High blood glucose levels can lead to macrosomia (excessive fetal growth). Monitoring fetal growth is important to ensure the baby is growing appropriately. Choice B is incorrect because urine protein levels and blood pressure are typically monitored for preeclampsia, not specifically for a patient with gestational diabetes. Choice C is incorrect because while maternal weight gain and diet are important factors, monitoring blood glucose levels takes precedence in managing gestational diabetes. Choice D is incorrect because while fetal heart rate and activity patterns are important, monitoring blood glucose levels is more crucial in this scenario due to the patient's history of gestational diabetes.