ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
A pregnant patient at 24 weeks gestation reports experiencing leg cramps. What is the most appropriate intervention for the nurse to recommend?
Correct Answer: C
Rationale: The correct answer is C: Elevate the legs and perform gentle stretching exercises. Leg cramps during pregnancy are common due to increased weight and pressure on the legs. Elevating the legs helps improve circulation and reduce cramping. Gentle stretching exercises can also help relieve muscle tension. Increasing calcium intake (choice A) may be beneficial for preventing cramps, but it is not the immediate intervention for relief. Exercise (choice B) may worsen cramping if done excessively. Applying heat packs (choice D) may provide temporary relief but does not address the underlying cause of the cramps.
Question 2 of 5
A nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with anemia. What should the nurse teach the patient about managing this condition?
Correct Answer: A
Rationale: The correct answer is A because increasing iron-rich foods and taking iron supplements as prescribed is the standard treatment for managing anemia during pregnancy. Iron is essential for red blood cell production, which is crucial for both the mother and the developing fetus. Resting frequently (choice B) may help with fatigue but does not address the root cause of anemia. Limiting dairy intake (choice C) is not necessary and may lead to other nutritional deficiencies. Incorporating vitamin D-rich foods (choice D) can be beneficial for overall health but does not specifically address the management of anemia.
Question 3 of 5
The nurse is caring for a pregnant patient who is at 36 weeks gestation and reports severe lower back pain. What should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B because engaging in light physical activity and maintaining good posture can help alleviate lower back pain during pregnancy by strengthening muscles and improving circulation. Resting may worsen the pain. Applying heat or cold packs may provide temporary relief but does not address the underlying issue. Lying flat on her back for extended periods can lead to decreased blood flow to the uterus and potentially harm the baby.
Question 4 of 5
A pregnant patient is at 32 weeks gestation and reports swelling of the feet and legs. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B. Elevating the legs and avoiding prolonged standing is the most appropriate recommendation for a pregnant patient experiencing swelling at 32 weeks gestation. Elevating the legs helps to reduce swelling by aiding in venous return and reducing fluid accumulation in the lower extremities. Prolonged standing can worsen swelling due to increased pressure on the veins. Limiting fluid intake (choice A) may lead to dehydration and is not recommended during pregnancy. Applying compression stockings (choice C) may help improve circulation but may not address the underlying cause of swelling. Resting in bed with feet elevated at all times (choice D) is excessive and may not be practical for the patient.
Question 5 of 5
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient's hemoglobin levels to check for anemia. Fatigue and weakness are common symptoms of anemia, especially in pregnant women. By assessing the hemoglobin levels, the nurse can determine if the patient is anemic and needs appropriate treatment. This step is crucial for identifying and addressing the underlying cause of the symptoms. Summary: B: Recommending a high-calorie diet may not address the root cause of the fatigue and weakness, which could be anemia. C: While rest is important during pregnancy, simply encouraging rest without investigating the cause of the symptoms may delay appropriate treatment. D: While gentle exercises can be beneficial during pregnancy, they may not be suitable if the patient is experiencing significant fatigue and weakness due to anemia.