ATI RN
Maternity Heartbeat Monitor Questions
Question 1 of 5
A patient in labor is receiving Pitocin to augment contractions. The fetal heart rate shows late decelerations. What is the most appropriate intervention?
Correct Answer: D
Rationale: The correct answer is D because it addresses the potential causes of late decelerations comprehensively. Stopping Pitocin helps to eliminate uteroplacental insufficiency, administering oxygen improves fetal oxygenation, and changing the patient's position can alleviate pressure on the umbilical cord. Each intervention targets a different aspect contributing to late decelerations, making it crucial to implement all of them to optimize fetal well-being.
Question 2 of 5
A woman in labor begins to experience severe lower abdominal pain and is found to have a ruptured uterus. What is the first intervention the nurse should perform?
Correct Answer: B
Rationale: The correct answer is B: Prepare the patient for immediate surgery. In the case of a ruptured uterus, prompt surgical intervention is crucial to control bleeding, repair the uterus, and prevent further complications such as hemorrhage and infection. Performing surgery is the priority over other interventions like administering fluids, pain relief medications, or performing a vaginal examination, as these actions do not address the immediate life-threatening situation of uterine rupture. Administering IV fluids may be necessary during surgery, and pain relief can be addressed post-operatively. Vaginal examination is contraindicated in cases of suspected uterine rupture as it can exacerbate the bleeding and worsen the condition.
Question 3 of 5
The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?
Correct Answer: B
Rationale: The correct answer is B: Blindness. Syphilis infection during pregnancy can lead to congenital syphilis, which can cause a range of complications for the fetus, including blindness. The spirochete that causes syphilis can cross the placenta and affect the developing fetus, leading to various abnormalities. Blindness is a common manifestation of congenital syphilis due to damage to the eyes and optic nerve. The other options are not directly associated with syphilis infection during pregnancy. Diabetes, pneumonia, and hypertension are not typically linked to congenital syphilis and its effects on the fetus. Therefore, the correct answer is B: Blindness.
Question 4 of 5
A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?
Correct Answer: C
Rationale: Rationale: 1. Pregnancy with a high BMI increases the risk of wound infection post-delivery due to delayed wound healing and increased tissue trauma. 2. Negative STI test and committed relationship decrease risks of neonatal blindness and birth injury. 3. Wound infection risk is directly related to BMI and not affected by STI status or relationship status. Summary: A: Incorrect - No connection between STI status or relationship status with neonatal blindness. B: Incorrect - No direct relation between STI status or relationship status with birth injury risk. D: Incorrect - Preeclampsia risk is not influenced by STI status or relationship status.
Question 5 of 5
A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B because herbal supplements can vary in safety during pregnancy. It is always recommended to consult a healthcare provider before taking any supplements, as some herbs may potentially harm the pregnancy or interact with other medications. Answer A is incorrect as not all herbal supplements are safe during pregnancy. Answer C is incorrect as some herbal supplements may be safe if recommended by a healthcare provider. Answer D is incorrect as prescription medications are often more rigorously tested and regulated for safety during pregnancy compared to herbal supplements.