ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A nurse is providing prenatal education to a patient who is 22 weeks gestation. Which of the following topics should be emphasized at this stage of pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor. At 22 weeks gestation, it is crucial to educate the patient about potential signs of preterm labor to help prevent premature birth and ensure the well-being of the baby. Symptoms such as regular contractions, abdominal cramping, backache, and vaginal bleeding should be discussed. This topic is time-sensitive and requires immediate action if observed. Summary of other choices: B: Signs of gestational diabetes - While important, monitoring for gestational diabetes typically occurs later in pregnancy, usually around 24-28 weeks. C: Breastfeeding education - Important, but not as time-sensitive as preterm labor education. D: Postpartum care - Relevant but more appropriate for later stages of pregnancy or after birth, not specifically at 22 weeks gestation.
Question 2 of 5
A nurse is assessing a pregnant patient at 18 weeks gestation who complains of feeling lightheaded when standing. What should the nurse advise the patient to do?
Correct Answer: D
Rationale: The correct answer is D because changing positions slowly helps prevent a sudden drop in blood pressure, which can cause lightheadedness. Sitting down immediately if feeling faint promotes safety and prevents falls. Taking deep breaths and lying flat on the back (choice A) can exacerbate lightheadedness by reducing blood flow to the brain. Increasing fluid intake and avoiding prolonged standing (choice B) may help with other issues but may not directly address the lightheadedness. Taking frequent rests while sitting upright (choice C) does not address the issue of changing positions slowly to prevent lightheadedness.
Question 3 of 5
A pregnant patient is concerned about the safety of taking over-the-counter (OTC) medications. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of consulting a healthcare provider before taking any OTC medications during pregnancy. This is crucial because not all OTC medications are safe during pregnancy, and individual health conditions can affect their safety. Choice A is incorrect because not all OTC medications are safe without consulting a healthcare provider. Choice C is incorrect as it oversimplifies the safety of OTC medications during pregnancy. Choice D is incorrect because not only prescription medications are safe during pregnancy; some OTC medications can also be safe, but it is essential to consult a healthcare provider to ensure safety.
Question 4 of 5
A nurse is assessing a 36-week pregnant patient who is complaining of sudden and severe headaches. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess the patient's blood pressure and check for signs of preeclampsia. Sudden and severe headaches in a pregnant patient could indicate preeclampsia, a serious condition characterized by high blood pressure. The nurse's priority is to assess for signs of preeclampsia to ensure the safety of both the mother and the baby. Encouraging rest or a warm shower, administering pain medication, or advising hydration do not address the potential underlying issue of preeclampsia and could delay necessary medical intervention.
Question 5 of 5
A pregnant patient is 32 weeks gestation and reports having trouble sleeping. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Sleep with several pillows to elevate the upper body. Elevating the upper body with pillows can help relieve discomfort from heartburn, shortness of breath, and back pain commonly experienced during pregnancy. This position promotes better circulation and reduces pressure on the uterus. Incorrect choices: A: Taking a warm bath may help relax but does not address the underlying sleep issues. B: Sleeping on the back can compress major blood vessels, leading to decreased blood flow to the fetus. D: Taking sedatives is not recommended during pregnancy due to potential risks to the fetus.