ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A nurse is educating a pregnant patient about warning signs to report during pregnancy. Which of the following statements indicates that the teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because sudden increase in swelling, especially in hands and face, can indicate preeclampsia, a serious condition during pregnancy. Swelling in these areas can be a sign of fluid retention and increased blood pressure. Prompt reporting and intervention are crucial to prevent complications for both the mother and the baby. Choices B, C, and D are incorrect because: B: Waiting until after the due date to report concerns can lead to missed opportunities for early intervention and can be dangerous for both the mother and the baby. C: Changes in fetal movement should be reported immediately, not just after the third trimester, as they can indicate fetal distress. D: Headaches and blurry vision, even if not severe, can be symptoms of preeclampsia or other serious conditions that require immediate attention. Waiting for symptoms to worsen can be harmful.
Question 2 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 3 of 5
A nurse is assessing a pregnant patient who is at 38 weeks gestation and reports a sudden decrease in fetal movement. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C, performing a nonstress test and assessing fetal heart rate. This is the priority action because a sudden decrease in fetal movement at 38 weeks gestation could indicate fetal distress or potential complications. A nonstress test helps evaluate fetal well-being by monitoring the fetal heart rate in response to fetal movement. This test provides immediate information about the baby's condition and any need for further intervention. Encouraging the patient to drink a cold beverage and lie down may not be effective in this situation, as it does not address the underlying cause of decreased fetal movement. Asking the patient to monitor fetal movements for 24 hours could delay necessary intervention, and waiting until the next prenatal appointment could lead to missed opportunities for timely assessment and management of fetal distress.
Question 4 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 5 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.