ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
A patient in labor who is 7 cm dilated requests pain relief. What is the most appropriate intervention at this time?
Correct Answer: A
Rationale: The correct answer is A: Administer an epidural block. At 7 cm dilation, the patient is in active labor and an epidural can provide effective pain relief without affecting the ability to push during the second stage of labor. Epidural blocks work by numbing the lower part of the body, reducing pain sensation while allowing the patient to remain alert and able to push effectively when the time comes. Non-pharmacological methods (B) may not provide sufficient relief at this stage. Narcotic analgesics (C) can pass through the placenta and affect the baby. Encouraging the patient to push (D) prematurely can lead to exhaustion and prolonged labor.
Question 2 of 5
A nurse is providing prenatal education to a pregnant patient. Which of the following statements indicates a need for further teaching about maternal weight gain during pregnancy?
Correct Answer: B
Rationale: The correct answer is B because the statement "I should eat for two during pregnancy" is incorrect. The rationale is that during pregnancy, a woman does not need to eat for two individuals. Instead, she needs to consume additional calories to support the growth and development of the fetus. Eating for two could lead to excessive weight gain and potential complications. The other choices indicate correct understanding and knowledge about maternal weight gain during pregnancy. A suggests the recommended weight gain range, C acknowledges the importance of exercising within doctor's limits, and D highlights the risks of gaining too much weight during pregnancy.
Question 3 of 5
The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Frequent contractions may be a sign of preterm labor, and further evaluation is needed. This response is appropriate because frequent contractions in a pregnant patient can indicate preterm labor, which requires immediate medical attention to prevent potential complications for both the mother and the baby. It is crucial to evaluate the situation to determine the cause of the contractions and take appropriate actions. Explanation for other choices: A: Contractions are common at this stage and are usually harmless - This is inaccurate as frequent contractions, especially in a pregnant patient, should not be dismissed as harmless without proper evaluation. B: Frequent contractions are always a sign of labor starting - This is incorrect because frequent contractions do not always indicate the onset of labor, especially in the case of preterm labor. D: You should drink more water to stop the contractions from happening - This is not an appropriate response as hydration may not necessarily stop contractions, especially if they are due to pre
Question 4 of 5
The nurse is teaching a pregnant patient about preparing for childbirth. Which of the following statements by the patient indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Staying in bed during labor is not recommended as it can slow down labor progress and increase discomfort. Rationale: 1. A: Correct - Breathing exercises help manage pain and promote relaxation during labor. 2. C: Correct - Learning about different labor positions can ease pain and facilitate labor progress. 3. D: Correct - Discussing pain relief options with healthcare provider is important for informed decision-making. Summary: Choice B is incorrect as it goes against best practices for labor. The other choices demonstrate understanding of labor preparation and pain management strategies.
Question 5 of 5
A 26-year-old pregnant woman who is 12 weeks gestation asks the nurse about the importance of folic acid. Which of the following is the best response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Folic acid helps prevent birth defects of the spine and brain. Folic acid is crucial during pregnancy as it plays a key role in neural tube development, reducing the risk of neural tube defects like spina bifida. This is supported by research and guidelines. B: Folic acid does not influence the gender of the baby, as it is determined by the father's sperm. C: Folic acid does not directly prevent nausea during pregnancy; it is mainly for neural tube development. D: Folic acid does not specifically help the placenta attach to the uterus; that process is regulated by other factors. In summary, choice A is correct as it directly relates to the essential role of folic acid in preventing birth defects, while the other choices are unrelated or inaccurate in the context of folic acid's benefits during pregnancy.