ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
A patient who has been in labor for several hours is now fully dilated and ready to push. What is the first action the nurse should take?
Correct Answer: C
Rationale: The correct answer is C: Assess the fetal heart rate. This is important to ensure the baby's well-being during the pushing phase. By monitoring the fetal heart rate, the nurse can detect any signs of distress or complications, allowing for prompt intervention if needed. Encouraging the patient to push (A) is appropriate once the fetal well-being is confirmed. While preparing the delivery room (B) is important, it is not the immediate priority. Administering pain relief (D) can be considered after assessing the fetal heart rate and ensuring the baby's safety.
Question 2 of 5
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Using marijuana while pregnant can have a negative effect on the neurological development of your baby. Rationale: 1. Marijuana use during pregnancy has been associated with adverse effects on the developing fetus, including potential negative impacts on neurological development. 2. The nurse's statement acknowledges the potential harm to the baby's neurological development, emphasizing the importance of avoiding marijuana during pregnancy. 3. This response focuses on providing essential information to the patient about the specific risks associated with marijuana use during pregnancy, highlighting the importance of making informed choices for the health of the baby. Summary: A: This choice makes assumptions about the patient's past behavior and does not provide essential information about the risks of marijuana use during pregnancy. B: This choice focuses on the timing of stopping marijuana use rather than addressing the potential harm to the baby's neurological development. D: This choice mentions miscarriage as a risk, which is not the primary concern associated with marijuana use during pregnancy.
Question 3 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 4 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 5 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.