ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient's blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death?
Correct Answer: D
Rationale: The correct answer is D: Indirect obstetric death. In this scenario, the patient's death was not directly caused by the obstetric event of giving birth, but rather by a pre-existing condition (hypertension) that was exacerbated during delivery. Indirect obstetric deaths are those caused by pre-existing conditions or external factors that are aggravated by the physiological effects of pregnancy. In contrast, early maternal death (choice A) occurs within 42 days of termination of pregnancy but is directly related to the pregnancy process. Late maternal death (choice B) occurs between 43 days and 1 year after termination of pregnancy. Direct obstetric deaths (choice C) are deaths resulting from obstetric complications during pregnancy, delivery, or postpartum period.
Question 2 of 5
A nurse is caring for a patient in labor who is receiving oxytocin for induction. Which of the following is a priority assessment for the nurse?
Correct Answer: A
Rationale: The correct answer is A: Fetal heart rate monitoring. This is a priority assessment because oxytocin can cause uterine hyperstimulation, leading to fetal distress. Monitoring the fetal heart rate allows early detection of any signs of fetal compromise. Choices B, C, and D are important assessments but not the priority in this situation. Monitoring fluid intake and output, uterine tone, and maternal blood pressure are also crucial but do not directly assess fetal well-being, which is the primary concern during labor induction with oxytocin.
Question 3 of 5
The nurse is caring for a pregnant patient who has a history of gestational hypertension. Which intervention is most important to reduce the risk of complications?
Correct Answer: A
Rationale: The correct answer is A: Monitor blood pressure regularly during pregnancy. Regular monitoring is crucial to detect any changes in blood pressure early and intervene promptly to prevent complications like preeclampsia. Choice B is incorrect because vigorous exercise can increase blood pressure. Choice C is incorrect as a high-sodium diet can worsen hypertension. Choice D is incorrect as reducing fluid intake can lead to dehydration and potentially exacerbate hypertension. Regular blood pressure monitoring is key in managing gestational hypertension and ensuring the best outcomes for both the mother and the baby.
Question 4 of 5
A 30-year-old pregnant patient is at 36 weeks gestation and expresses concerns about swelling in her legs. Which of the following assessments is most important for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Examine the legs for any signs of deep vein thrombosis (DVT). At 36 weeks gestation, pregnant women are at higher risk for DVT due to increased blood volume and pressure on the veins from the growing uterus. DVT can be life-threatening if not detected early. Assessing for any signs of DVT such as redness, warmth, swelling, or pain in the legs is crucial for prompt intervention. Incorrect choices: A: Assessing weight gain is important but not the priority in this situation where DVT is a concern. C: Instructing the patient to elevate her legs and rest can help with swelling but does not address the potential serious complication of DVT. D: Evaluating dietary intake of sodium is not the priority in this situation where DVT is a concern.
Question 5 of 5
A nurse is assessing a pregnant patient at 34 weeks gestation who reports feeling itchy and has noticed jaundice. Which of the following conditions should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Cholestasis of pregnancy. This condition presents with itching, especially on the palms and soles, and jaundice. It is more common in the third trimester. Cholestasis of pregnancy is a liver condition that can lead to complications for both the mother and the baby if not managed promptly. Gestational diabetes (Choice A) presents with high blood sugar levels. Preeclampsia (Choice B) is characterized by high blood pressure and protein in the urine. Hyperthyroidism (Choice D) involves an overactive thyroid gland, which can present with symptoms such as weight loss and palpitations.