ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Rationale: C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.
Question 2 of 5
The nurse is assessing a pregnant patient who is at 14 weeks gestation and reports light vaginal bleeding. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Call the healthcare provider immediately to assess for miscarriage. The priority action in this scenario is to promptly notify the healthcare provider to assess for potential complications like miscarriage, which could be life-threatening to the patient or fetus. This step ensures timely intervention and appropriate management. Monitoring blood pressure and urine for protein (Choice A) is important but not the immediate priority. Encouraging rest and waiting for symptoms to resolve (Choice C) may delay necessary medical intervention. Performing a pelvic exam (Choice D) could potentially worsen the situation if miscarriage is occurring. Thus, calling the healthcare provider for assessment is the most appropriate and urgent action to take in this situation.
Question 3 of 5
A nurse is educating a pregnant patient on the importance of folic acid. Which of the following statements by the patient indicates that the teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because taking folic acid throughout the entire pregnancy is crucial for supporting fetal development, especially in the early stages when the neural tube is forming. This statement reflects the patient's understanding of the importance of consistent folic acid intake during pregnancy. Choice B is incorrect because waiting until after the first trimester misses the critical period when the neural tube develops. Choice C is incorrect as folic acid is recommended for all pregnant women regardless of family history. Choice D is incorrect because while folic acid is beneficial for fetal development, it is not specifically linked to reducing the risk of gestational diabetes or hypertension.
Question 4 of 5
A pregnant patient is at 34 weeks gestation and reports sudden sharp abdominal pain and difficulty breathing. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C - Call the healthcare provider immediately and prepare for possible preterm labor. At 34 weeks gestation, sudden sharp abdominal pain and difficulty breathing could indicate a serious complication such as placental abruption or pulmonary embolism. Calling the healthcare provider ensures prompt assessment and appropriate intervention to prevent harm to the mother and baby. Encouraging the patient to lie down may delay necessary intervention. Administering pain medication before determining the cause of pain could mask important symptoms. Assessing the fetal heart rate and monitoring for contractions are important but secondary actions to calling the healthcare provider in this urgent situation.
Question 5 of 5
A nurse is educating a pregnant patient about the importance of folic acid during pregnancy. Which of the following statements by the patient indicates effective teaching?
Correct Answer: B
Rationale: Rationale: Choice B is correct because folic acid is indeed important for preventing neural tube defects in the baby's brain and spine. These defects can occur in the early weeks of pregnancy, emphasizing the need for sufficient folic acid intake throughout pregnancy. Incorrect Choices: A: Stopping folic acid after the first trimester is not recommended as neural tube development occurs early in pregnancy. C: While a healthy diet is important, it may not provide enough folic acid during pregnancy, hence supplements are often recommended. D: Family history of birth defects is not the sole indication for taking folic acid, as all pregnant women benefit from its preventive effects.