ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A pregnant patient at 28 weeks gestation reports leg cramps and lower back pain. What should the nurse recommend to alleviate these symptoms?
Correct Answer: A
Rationale: The correct answer is A. Leg cramps and lower back pain in pregnancy can be relieved by taking a warm bath and performing leg stretches. Warm water helps relax muscles, while stretching can alleviate muscle tension. This is safe and effective for pregnant patients. Choice B is incorrect because applying a heating pad may not be recommended during pregnancy due to the risk of overheating. Resting in bed may provide temporary relief but does not address the underlying cause. Choice C is incorrect because increasing calcium intake and taking over-the-counter pain medications may not specifically target muscle cramps and back pain. It is essential to address the symptoms directly. Choice D is incorrect because encouraging light physical activity may be beneficial, but avoiding long periods of rest may not be necessary. Stretching and warm baths are more specific interventions for muscle cramps and back pain.
Question 2 of 5
A nurse is caring for a postpartum person who is at risk for infection. What is the most important nursing intervention to reduce the risk of infection?
Correct Answer: A
Rationale: The correct answer is A: Monitor vital signs. This is the most important intervention because changes in vital signs can indicate the presence of infection early on. By closely monitoring the postpartum person's vital signs, the nurse can promptly identify any signs of infection and initiate appropriate interventions. Educating on proper hygiene (B) and wound care (C) are essential but monitoring vital signs takes precedence in immediate infection detection. Encouraging ambulation (D) is beneficial for preventing complications like blood clots, but it is not the most crucial intervention for infection prevention in this scenario.
Question 3 of 5
A nurse is preparing a laboring person for an epidural. What is the most important nursing intervention before the procedure?
Correct Answer: A
Rationale: The correct answer is A: Ensure informed consent is signed. Before any procedure, it is crucial to obtain informed consent to ensure the individual understands the risks, benefits, and alternatives. This protects their autonomy and ensures they are making an informed decision. Administering IV fluids (B) is important but not as critical as obtaining consent. Monitoring vital signs (C) is essential but not the most important step before the procedure. Administering pain relief (D) should only be done after ensuring informed consent and assessing the individual's pain level.
Question 4 of 5
A nurse is caring for a pregnant patient at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.
Question 5 of 5
A nurse is preparing to administer a medication to a birthing person with a history of hypertension. What is the nurse's priority assessment before administering this medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure and pulse rate. For a birthing person with a history of hypertension, it is crucial to assess their blood pressure and pulse rate before administering medication to ensure the medication does not exacerbate their hypertension. Monitoring these vital signs helps in determining the appropriateness and safety of the medication. Summary: - Choice B is incorrect because respiratory rate and oxygen saturation are not the priority assessments for a person with a history of hypertension. - Choice C is incorrect as temperature and urine output are not directly related to assessing the risk of exacerbating hypertension. - Choice D is incorrect as oxygen saturation and urine output are not the primary indicators of medication safety for someone with hypertension.