ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A patient in labor is having difficulty pushing during the second stage of labor. Which of the following interventions would be most helpful?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to bear down with each contraction. This is the most helpful intervention as it helps the patient effectively push during the second stage of labor, facilitating the descent of the baby through the birth canal. Increasing the epidural dose (choice A) can further impair the patient's ability to push. Performing a cesarean section (choice C) is not necessary unless there are other complications. Placing the patient in a lithotomy position (choice D) is a common position for delivery but does not address the issue of difficulty pushing.
Question 2 of 5
A patient at 37 weeks gestation is admitted with ruptured membranes. What is the first priority action for the nurse?
Correct Answer: B
Rationale: The correct answer is B: Check for cord prolapse. This is the first priority action because a prolapsed cord is a life-threatening emergency that requires immediate intervention to prevent fetal hypoxia and distress. The nurse should quickly assess for cord presentation by performing a vaginal exam and relieving pressure on the cord if present. Incorrect choices: A: Assess for signs of infection - While infection is a concern with ruptured membranes, it is not the immediate priority over checking for cord prolapse. C: Perform a vaginal exam to assess cervical dilation - Assessing cervical dilation can wait until after ruling out cord prolapse. D: Perform a vaginal examination to check for fetal descent - Fetal descent assessment is not urgent compared to checking for cord prolapse in this scenario.
Question 3 of 5
A patient with gestational hypertension is being monitored during labor. What is the most important factor to assess?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure. In a patient with gestational hypertension, monitoring blood pressure is crucial to assess for worsening hypertension, which can lead to complications such as preeclampsia and eclampsia. Elevated blood pressure can affect both maternal and fetal well-being. Assessing fetal heart rate (A) is important but not the most critical factor in this scenario. Uterine contractions (C) are important but secondary to monitoring blood pressure. Fetal malpresentation (D) can impact delivery but is not the most vital factor to assess in a patient with gestational hypertension.
Question 4 of 5
A woman who has had multiple cesarean sections is in labor. What is the most important complication to monitor for?
Correct Answer: A
Rationale: Correct Answer: A: Uterine rupture Rationale: 1. History of multiple cesarean sections increases the risk of uterine rupture. 2. Uterine rupture is a life-threatening complication for both mother and baby. 3. Signs include sudden severe abdominal pain, fetal distress, and hemodynamic instability. 4. Immediate intervention is crucial to prevent adverse outcomes. Summary: B: Precipitous labor - Quick labor is not specifically associated with multiple cesarean sections. C: Maternal hypotension - Important but not the most critical complication in this scenario. D: Fetal malpresentation - While important, it is not the most immediate concern compared to uterine rupture.
Question 5 of 5
The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity. Rationale: 1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development. 2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth. 3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes. Summary: A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure. C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy. D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.