ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A nurse is educating a pregnant patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because placing the baby in the same bed increases the risk of suffocation, Sudden Infant Death Syndrome (SIDS), and other sleep-related accidents. Co-sleeping is not recommended due to the potential hazards. Choices A, C, and D are safe sleep practices. Placing the baby on their back reduces the risk of SIDS, keeping soft bedding out of the crib prevents suffocation, and tummy time is beneficial for the baby's development when they are awake.
Question 2 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports feeling dizzy when standing. What should the nurse recommend to the patient?
Correct Answer: D
Rationale: The correct answer is D. When a pregnant patient feels dizzy, it can be due to postural hypotension. Rising slowly helps prevent a sudden drop in blood pressure. Standing for long periods can worsen symptoms. Option A is incorrect as standing up quickly can exacerbate dizziness. Option B is incorrect as cold beverages do not address the underlying issue. Option C is incorrect as lying flat on the back can decrease blood flow to the uterus.
Question 3 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 4 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 5 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.