ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A pregnant patient at 26 weeks gestation reports frequent headaches and blurred vision. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure and check for signs of preeclampsia. At 26 weeks gestation, headaches and blurred vision could be symptoms of preeclampsia, a serious condition in pregnancy. Monitoring blood pressure is crucial as high blood pressure is a key indicator. Preeclampsia can lead to severe complications for both the mother and baby if left untreated. Encouraging over-the-counter pain medication (Choice A) may mask symptoms without addressing the underlying cause. Rest and hydration (Choice C) are important, but immediate evaluation for preeclampsia is necessary. Scheduling a follow-up appointment (Choice D) delays potential diagnosis and treatment.
Question 2 of 5
The nurse is providing prenatal education to a pregnant patient at 24 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor and when to call the healthcare provider. This is the most crucial topic to prioritize at 24 weeks gestation because preterm labor can have serious consequences for both the mother and the baby. By educating the patient on the signs and symptoms of preterm labor, such as abdominal cramping, backache, or vaginal bleeding, the nurse can empower the patient to recognize these warning signs early and seek prompt medical attention, potentially preventing preterm birth. Choice B: Breastfeeding techniques and infant care, and Choice C: Postpartum care and family planning options are important topics but are more relevant for later stages of pregnancy or after delivery. Choice D: Managing pregnancy-related fatigue and morning sickness is also important but is generally not as urgent as being aware of signs of preterm labor.
Question 3 of 5
A pregnant patient at 28 weeks gestation reports severe heartburn. What is the nurse's most appropriate recommendation?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This recommendation helps prevent overeating, which can contribute to heartburn. Smaller meals reduce pressure on the stomach, decreasing the likelihood of acid reflux. Eating more frequently also helps maintain stable blood sugar levels, which can further alleviate heartburn symptoms. Explanation for other choices: A: Over-the-counter antacids may provide temporary relief, but taking them regularly can lead to potential risks during pregnancy. C: Lying down immediately after eating can worsen heartburn symptoms as it allows stomach acid to flow back up into the esophagus. D: Drinking large amounts of water with meals can dilute stomach acid, but it may also distend the stomach and increase pressure, leading to heartburn.
Question 4 of 5
The nurse is caring for a pregnant patient at 36 weeks gestation who reports sudden, severe headache and blurred vision. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because sudden severe headache and blurred vision in a pregnant patient at 36 weeks gestation are potential signs of preeclampsia, a serious condition that can lead to complications for both the mother and the baby. Monitoring the patient's blood pressure and checking for signs of preeclampsia is crucial for early detection and timely intervention. Administering pain medication (choice A) may mask symptoms and delay appropriate treatment. Encouraging rest and fluids (choice C) may not address the underlying cause of the symptoms. Scheduling a follow-up appointment (choice D) may delay necessary immediate actions to address potential preeclampsia.
Question 5 of 5
A pregnant patient at 30 weeks gestation is complaining of severe heartburn. What should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Eat smaller meals more frequently and avoid lying down after meals. This is the best recommendation for the pregnant patient experiencing severe heartburn at 30 weeks gestation. Eating smaller meals more frequently can help reduce the amount of stomach acid produced, thus decreasing the likelihood of heartburn. Avoiding lying down after meals can prevent stomach acid from flowing back into the esophagus, further reducing heartburn symptoms. Rationale for why other choices are incorrect: A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus. B: Drinking a large amount of water after eating may worsen heartburn by increasing stomach pressure and pushing stomach acid back up. D: Taking antacids regularly may provide temporary relief but is not addressing the root cause of the heartburn and may not be safe for long-term use during pregnancy.