ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A patient who is 38 weeks pregnant reports decreased fetal movement. What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Perform a nonstress test (NST) to assess fetal well-being. 1. Decreased fetal movement can be a sign of fetal distress. 2. NST helps monitor fetal heart rate and movement to assess fetal well-being. 3. It is a non-invasive and effective way to determine fetal health. 4. Other choices are incorrect: A: Incorrect because decreased fetal movement is not always normal and should be assessed. C: Incorrect as tocolytic agents are used to stop preterm labor, not for decreased fetal movement. D: Incorrect as sugary drinks do not reliably stimulate fetal movement.
Question 2 of 5
A 29-week pregnant woman presents with preterm labor symptoms. What is the most appropriate intervention?
Correct Answer: C
Rationale: The correct answer is C: Administer tocolytics to delay labor. This intervention helps to delay preterm labor, giving time for corticosteroids to enhance fetal lung maturity and reduce neonatal morbidity. Administering magnesium sulfate (Choice A) is used for neuroprotection in preterm labor but is not the initial intervention. Performing a cesarean section (Choice B) is not recommended unless there are complications. Inducing labor immediately (Choice D) is not appropriate as the goal is to delay labor to improve neonatal outcomes.
Question 3 of 5
A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.
Question 4 of 5
The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?
Correct Answer: B
Rationale: The correct answer is B because complete abstinence from alcohol is the safest option during pregnancy to prevent any potential harm to the fetus. This statement shows understanding of the importance of avoiding alcohol for the well-being of the baby. Choice A suggests drinking daily, which can still pose risks. Choice C implies occasional drinking is acceptable, which can still be harmful. Choice D is incorrect because alcohol should be avoided throughout pregnancy, not just in the first trimester.
Question 5 of 5
A patient is being discharged after giving birth to a healthy baby. The nurse educates the patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Co-sleeping increases the risk of sudden infant death syndrome (SIDS) and suffocation. Placing the baby in a separate crib reduces these risks. Incorrect Choices: A: Placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS. C: Avoiding pillows and soft bedding in the crib reduces the risk of suffocation. D: Tummy time is important for infant development when the baby is awake.