ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A patient in labor is requesting an epidural but has a history of a previous back surgery. What is the most important assessment before proceeding with the epidural?
Correct Answer: C
Rationale: The correct answer is C: Perform a vaginal exam to assess for fetal position. This is important because the position of the fetus can affect the safety and efficacy of administering an epidural in a patient with a history of back surgery. If the fetus is in a breech position or in any other position that could complicate the epidural placement, alternative pain management options may need to be considered. A: History of spinal surgery or deformity is important but assessing the fetal position takes precedence in this scenario. B: Fetal heart rate monitoring is essential during labor but not the most important assessment before proceeding with the epidural in this case. D: Administering Pitocin is unrelated to the assessment needed before proceeding with the epidural.
Question 2 of 5
The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?
Correct Answer: A
Rationale: The correct answer is A: "My child may be at increased risk for birth injury." This is correct because a pregnant patient with a BMI of 33 is considered obese, which can increase the risk of birth injury to the baby due to complications such as macrosomia (large birth weight). Explanation: 1. Obesity in pregnancy can lead to complications such as macrosomia, shoulder dystocia, and birth trauma. 2. Higher BMI can also increase the risk of cesarean delivery, which may be necessary to prevent birth injuries. 3. Childhood diabetes risk is not decreased with maternal obesity. 4. Mode of delivery (vaginal or cesarean) is not solely determined by BMI. 5. Gestational hypertension risk is actually higher in women with obesity. In summary, choice A is correct because it directly relates to the increased risk of birth injury associated with maternal obesity, while the other choices are not directly linked to the patient's BMI and pregnancy complications.
Question 3 of 5
The nurse is counseling a pregnant patient who is concerned about gestational diabetes. The patient has a family history of diabetes and is overweight. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because gestational diabetes can indeed cause excessive birth weight, leading to delivery complications such as shoulder dystocia and cesarean section. This is important for the patient to be aware of to ensure the health and safety of both herself and her baby. Choice A is incorrect because gestational diabetes can persist after delivery and may increase the risk of developing type 2 diabetes later in life for both the mother and the baby. Choice C is incorrect because pregnant women with gestational diabetes still need carbohydrates for proper nutrition; however, they should monitor their carbohydrate intake and choose complex carbohydrates to manage blood sugar levels. Choice D is incorrect because having gestational diabetes does increase the risk of developing type 2 diabetes later in life. It is important for the patient to understand this potential risk and take steps to manage their health accordingly.
Question 4 of 5
The nurse is assessing a pregnant patient in the second trimester who is complaining of leg cramps. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B. Elevating her legs while resting helps improve circulation and reduce the risk of leg cramps in pregnant patients. This position promotes blood flow and reduces the pressure on the blood vessels. Choices A and D do not directly address improving circulation or reducing pressure on blood vessels. Choice C, while beneficial in general, may not provide immediate relief for the current leg cramps. Therefore, elevating the legs while resting is the most appropriate intervention for the pregnant patient experiencing leg cramps in the second trimester.
Question 5 of 5
A nurse is caring for a pregnant patient who is 8 weeks gestation. The patient is asking about the safety of taking over-the-counter cold medications. Which response is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because during pregnancy, it is essential to be cautious about medications. Choosing medications specifically labeled for pregnancy ensures safety for both the mother and the developing fetus. Choice A is incorrect because not all over-the-counter medications are safe during pregnancy. Choice C is incorrect as some cold medications are safe when used as directed. Choice D is incorrect as not all herbal remedies are proven safe for use during pregnancy. It is important to prioritize the well-being of both the mother and the baby by following healthcare provider recommendations and using medications approved for use during pregnancy.