ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention. Incorrect choices: A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms. B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent. D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.
Question 2 of 5
A nurse is caring for a pregnant patient who is at 26 weeks gestation and reports a sudden decrease in fetal movement. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink a sugary beverage and count fetal movements. This action is appropriate as decreased fetal movement can indicate fetal distress, and the sugary beverage can stimulate the baby to move. If the baby responds with increased movements, it indicates a reassuring fetal status. If there is no improvement, further evaluation can be pursued. Incorrect choices: B: Monitoring blood pressure is not the priority in this situation as the main concern is fetal movement. C: Performing a nonstress test is not the first action to take as it requires time and resources, which may delay immediate intervention. D: While eventually contacting the healthcare provider is important, the immediate action should be to assess fetal well-being by encouraging fetal movements.
Question 3 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary. Rationale: 1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances. 2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions. 3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications. Summary: A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms. B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration. D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.
Question 4 of 5
The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?
Correct Answer: B
Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is the most important aspect of care for a pregnant patient with gestational diabetes because it helps control blood sugar levels, reducing the risk of complications for both the mother and the baby. Monitoring blood glucose levels ensures that the patient's blood sugar remains within the target range, while maintaining a balanced diet helps provide essential nutrients without causing spikes in blood sugar levels. A: Maintaining a healthy weight gain during pregnancy is important but not as crucial as monitoring blood glucose levels for a patient with gestational diabetes. C: Increasing fluid intake is important for overall health during pregnancy, but it is not the most critical aspect of care for a patient with gestational diabetes. D: Administering insulin may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and maintaining a balanced diet.
Question 5 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and is concerned about the possibility of gestational diabetes. Which of the following symptoms should the nurse educate the patient to report?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. This is because these symptoms are indicative of hyperglycemia, which is common in gestational diabetes. Increased thirst occurs due to the body trying to flush out excess sugar through urine, leading to frequent urination. This should be reported to the healthcare provider for further evaluation and management. Other choices are incorrect: B: Sudden weight loss and increased energy are not typical symptoms of gestational diabetes. Weight loss can occur in uncontrolled diabetes, but it is not a common symptom in gestational diabetes. C: Extreme fatigue and headaches can be non-specific symptoms and are not necessarily related to gestational diabetes. D: Decreased fetal movement and nausea are more commonly associated with other complications in pregnancy, such as placental insufficiency or preeclampsia, rather than gestational diabetes.