ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A pregnant patient at 30 weeks gestation reports experiencing dizziness and faintness when standing up. What is the most likely cause of these symptoms?
Correct Answer: C
Rationale: The correct answer is C: Decreased blood pressure due to pregnancy-related changes. During pregnancy, blood vessels dilate and the growing uterus can compress the vena cava, leading to decreased blood return to the heart when standing up, causing dizziness and faintness. This condition is known as orthostatic hypotension, common in the third trimester. Low blood sugar levels (choice A) and dehydration/electrolyte imbalance (choice B) can also cause dizziness but are less likely in this scenario. Anemia and low iron levels (choice D) can lead to fatigue and weakness but are less likely to cause dizziness and faintness when standing up in this context.
Question 2 of 5
The nurse is caring for a pregnant patient at 34 weeks gestation who is experiencing leg cramps. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to perform leg stretches and elevate the legs. Leg cramps are common in pregnancy due to increased pressure on nerves and blood vessels. Leg stretches help relieve muscle tension, and elevating the legs promotes circulation. Increasing calcium and vitamin D may be helpful but not the primary intervention. Administering pain medications and applying ice may provide temporary relief but do not address the underlying cause. Frequent walking can help strengthen leg muscles but may exacerbate cramps if done excessively.
Question 3 of 5
The nurse is educating a pregnant patient about the importance of taking prenatal vitamins. Which of the following statements by the patient indicates effective teaching?
Correct Answer: B
Rationale: The correct answer is B because taking prenatal vitamins throughout pregnancy ensures the baby receives essential nutrients for growth and development. Prenatal vitamins contain key nutrients like folic acid, iron, and calcium crucial for the baby's health. Choice A is incorrect because prenatal vitamins are recommended throughout pregnancy, not just the first trimester. Choice C is incorrect as prenatal vitamins may be needed postpartum if breastfeeding. Choice D is incorrect as prenatal vitamins provide additional nutrients that may not be obtained solely from diet.
Question 4 of 5
The nurse is caring for a pregnant patient at 24 weeks gestation who reports increased vaginal discharge. What should the nurse do first?
Correct Answer: A
Rationale: Rationale: Step 1: Assess characteristics of discharge - determining color and odor helps identify if it's normal or concerning. Step 2: Based on assessment, decide next steps - presence of abnormal color or odor may indicate infection or other issues. Step 3: Implement appropriate interventions - further evaluation or treatment as needed. Summary: - B: Resting and monitoring alone may not address the underlying cause of increased discharge. - C: While tracking amount is important, it doesn't provide immediate information on potential infection. - D: Performing a pelvic exam should come after initial assessment of discharge characteristics to guide further actions.
Question 5 of 5
A pregnant patient at 24 weeks gestation is diagnosed with gestational diabetes. What should the nurse emphasize in the patient's care plan?
Correct Answer: A
Rationale: The correct answer is A because maintaining a balanced diet and monitoring blood glucose levels regularly are essential in managing gestational diabetes. A balanced diet helps regulate blood sugar levels, and monitoring glucose levels helps track responses to dietary choices. Choice B is incorrect as physical activity is beneficial for managing blood sugar. Choice C is unnecessary for gestational diabetes unless dietary and lifestyle modifications are insufficient. Choice D is incorrect as carbohydrates are still needed for energy but should be consumed in moderation with monitoring.