ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
A pregnant patient at 24 weeks gestation is concerned about gestational diabetes. Which of the following is the most important aspect of managing this condition?
Correct Answer: A
Rationale: The correct answer is A: Increasing physical activity and monitoring blood glucose levels. This is because physical activity helps improve insulin sensitivity and manage blood glucose levels in gestational diabetes. Monitoring blood glucose levels is essential to ensure they are within the target range for both the mother and baby's health. Administering insulin (B) may be necessary in some cases but is not the first-line approach. Eating larger meals (C) can lead to higher blood sugar levels and does not prevent hypoglycemia. Limiting fluid intake (D) is not recommended as it can lead to dehydration and does not directly impact blood sugar fluctuations.
Question 2 of 5
A nurse is educating a pregnant patient about the importance of iron supplementation during pregnancy. Which statement by the patient indicates effective teaching?
Correct Answer: A
Rationale: Rationale: Choice A is correct because taking iron supplements daily, even if feeling fine, ensures the patient maintains adequate iron levels throughout pregnancy. Iron is crucial for the mother and baby's health, preventing anemia and complications. Choice B is incorrect as waiting for hemoglobin levels to drop may lead to deficiency. Choice C is incorrect as iron needs remain high throughout pregnancy. Choice D is incorrect as symptoms of anemia indicate an existing deficiency rather than prevention.
Question 3 of 5
A nurse is educating a pregnant patient about preeclampsia. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Rationale: Choice C is incorrect because headaches and dizziness are not considered normal symptoms of pregnancy, especially when accompanied by other signs of preeclampsia. Preeclampsia can cause headaches and dizziness due to high blood pressure. Choices A, B, and D are correct as they highlight important signs and symptoms of preeclampsia that the patient should report to their healthcare provider promptly.
Question 4 of 5
A pregnant patient at 36 weeks gestation reports feeling more tired than usual. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B. Assess the patient for signs of anemia or other complications. At 36 weeks gestation, fatigue can be a sign of anemia, a common issue in pregnancy. Anemia can lead to complications for both the mother and the baby, so assessing for this is crucial. Encouraging rest (choice A) may help with fatigue temporarily but does not address the underlying cause. Administering iron supplements (choice C) without assessing first can be harmful if anemia is not the issue. Instructing the patient to increase caloric intake (choice D) is not the priority as it does not address the potential medical issue causing the fatigue.
Question 5 of 5
Which statement accurately describes the importance of birthing person position changes during the second stage of labor?
Correct Answer: A
Rationale: The correct answer is A because position changes during the second stage of labor can indeed impact fetal descent. Different positions such as upright, squatting, or on hands and knees can help utilize gravity to aid in the descent of the baby through the birth canal. This can potentially speed up labor and reduce the risk of complications. Explanation of why the other choices are incorrect: B: Position changes are not intended to lead to support person stress, but rather to optimize the birthing process. C: Fetal descent is influenced by a combination of factors, including uterine contractions and maternal positioning. D: Maintaining a supine position is not always the safest option as it can compress blood vessels, potentially reducing blood flow to the baby.