ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A patient with gestational hypertension is being monitored during labor. What is the most important factor to assess?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure. In a patient with gestational hypertension, monitoring blood pressure is crucial to assess for worsening hypertension, which can lead to complications such as preeclampsia and eclampsia. Elevated blood pressure can affect both maternal and fetal well-being. Assessing fetal heart rate (A) is important but not the most critical factor in this scenario. Uterine contractions (C) are important but secondary to monitoring blood pressure. Fetal malpresentation (D) can impact delivery but is not the most vital factor to assess in a patient with gestational hypertension.
Question 2 of 5
The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity. Rationale: 1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development. 2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth. 3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes. Summary: A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure. C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy. D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.
Question 3 of 5
A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals?
Correct Answer: B
Rationale: The correct answer is B: Healthy People 2020. This is because Healthy People 2020 provides specific objectives related to maternal and child health, including reducing fetal death outcomes during delivery. The goals and targets outlined in Healthy People 2020 are evidence-based and nationally recognized, making it a reliable guide for setting healthcare goals. A: WHO Maternal care guidelines focus more broadly on global maternal health issues and may not provide specific goals related to reducing fetal death outcomes during delivery. C: AWHONN white papers may offer valuable insights and recommendations, but they are not as comprehensive or widely recognized as the goals outlined in Healthy People 2020. D: State Practice Acts govern the scope of practice for healthcare providers in a specific state, but they do not typically include specific goals related to reducing fetal death outcomes during delivery.
Question 4 of 5
A pregnant woman who is 28 weeks gestation reports that she feels dizzy and faint when she stands up. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D, instructing the pregnant woman to get up slowly and avoid standing for long periods. This is because during pregnancy, blood pressure can drop when standing up quickly, leading to dizziness and fainting. Getting up slowly allows the body to adjust gradually, preventing a sudden drop in blood pressure. Standing for long periods can worsen these symptoms, so it is important to avoid prolonged standing. A: Lying down flat on the back immediately can worsen symptoms in this case by reducing blood flow to the brain. B: Standing up quickly can exacerbate dizziness and fainting by causing a sudden drop in blood pressure. C: Drinking a large amount of water may not address the underlying issue of postural hypotension and could potentially worsen symptoms by increasing blood volume without addressing the drop in blood pressure.
Question 5 of 5
The nurse is teaching a pregnant patient about the importance of folic acid. Which statement by the patient indicates that the teaching has been effective?
Correct Answer: A
Rationale: Step 1: Folic acid is crucial for neural tube development in the fetus. Step 2: Spinal cord defects are a type of neural tube defect. Step 3: Statement A directly links folic acid to preventing spinal cord defects. Therefore, choice A is correct as it demonstrates an understanding of the specific benefit of folic acid during pregnancy. Choices B, C, and D are incorrect as they do not accurately reflect the primary role of folic acid in pregnancy.