ATI RN
Maternal Monitoring Questions
Question 1 of 5
A patient in labor is requesting pain relief. What is the most appropriate intervention for a patient in the latent phase of labor?
Correct Answer: B
Rationale: The correct answer is B: Provide non-pharmacological pain relief methods. In the latent phase of labor, the cervix is dilated up to 6 cm and the contractions are typically mild to moderate. Non-pharmacological methods like massage, breathing techniques, warm showers, and position changes are most appropriate as they help the patient relax and cope with the pain without interfering with the progress of labor. Administering an epidural block (A) is not recommended in the latent phase as it can slow down labor. Administering narcotic analgesics (C) can affect the baby and may not provide adequate pain relief. Encouraging the patient to push (D) is not appropriate in the latent phase as it can lead to exhaustion and may not be effective until the cervix is fully dilated.
Question 2 of 5
A woman in labor is experiencing severe perineal pressure and the urge to push. What should the nurse assess next?
Correct Answer: A
Rationale: The correct answer is A: Cervical dilation. Assessing cervical dilation is crucial as it indicates the progress of labor and readiness for pushing. The nurse needs to determine if the woman is fully dilated to guide the timing of pushing. B: Fetal position is important but not the immediate priority when the woman is experiencing the urge to push. C: Fetal heart rate should be continually monitored during labor but is not the next assessment when the woman has the urge to push. D: Maternal blood pressure is important but not the immediate concern when the woman is ready to push.
Question 3 of 5
The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?
Correct Answer: C
Rationale: The correct answer is C: Alcohol abuse. During adolescence, children of parents who have substance abuse issues, like alcohol, are at an increased risk of developing similar problems. This is due to genetic predisposition, environmental factors, and learned behavior. Children tend to model the behavior of their parents, and if they are exposed to alcohol abuse at a young age, they are more likely to engage in alcohol abuse themselves as they grow older. Incorrect choices: A: Hypertension - This choice is not directly related to the situation described and is not typically a risk factor associated with parental alcohol abuse. B: Diabetes - Similar to choice A, diabetes is not directly linked to parental alcohol abuse and is not a common risk factor during adolescence in this scenario. D: Intraventricular bleeding - This is a medical condition that is not typically influenced by parental alcohol abuse and is not a common risk factor during adolescence.
Question 4 of 5
The nurse is caring for a woman who is pregnant and reports that she has used tobacco throughout her pregnancy. What is the most likely risk to her baby?
Correct Answer: C
Rationale: The correct answer is C: Low birth weight. Tobacco use during pregnancy is associated with several adverse outcomes, including low birth weight. Nicotine in tobacco can constrict blood vessels, reducing the flow of oxygen and nutrients to the baby, leading to poor growth and low birth weight. Neonatal death (A) is a severe outcome but not the most likely risk associated with tobacco use during pregnancy. Fetal alcohol syndrome (B) is caused by alcohol consumption, not tobacco use. Cerebral palsy (D) is a neurological condition not directly linked to tobacco use during pregnancy.
Question 5 of 5
A nurse is caring for a pregnant woman who is at 40 weeks gestation and is experiencing a prolonged labor. Which of the following interventions is most appropriate to promote labor progression?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to walk or change positions. This intervention helps to promote gravity-assisted descent of the fetus, aiding in cervical dilation and labor progression. Walking and changing positions can also help alleviate pain and discomfort, facilitate optimal fetal positioning, and prevent maternal exhaustion. Administering a sedative (A) can potentially slow down labor progress. Administering oxytocin (C) may be indicated in certain situations, but it is not the most appropriate initial intervention for promoting labor progression in this case. Performing a cesarean section (D) is not warranted unless there are specific medical indications for it, as it is a major surgical procedure with potential risks.