ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A pregnant patient at 30 weeks gestation reports lower back pain and difficulty sleeping. Which of the following is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B. Using a firm mattress and avoiding sleeping on the back is the most appropriate recommendation for a pregnant patient at 30 weeks gestation experiencing lower back pain. Here's why: 1. Firm mattress provides better support for the back and helps maintain proper spinal alignment during sleep. 2. Avoiding sleeping on the back reduces pressure on the major blood vessels, preventing potential complications like supine hypotensive syndrome. 3. Resting in bed with legs elevated (choice A) may not address the root cause of back pain and may not be recommended for extended periods during pregnancy. 4. Taking over-the-counter pain medications (choice C) should be avoided unless prescribed by a healthcare provider due to potential risks to the fetus. 5. Performing light stretching exercises (choice D) can be beneficial, but avoiding certain positions like lying on the back is more crucial for back pain relief during pregnancy.
Question 2 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 3 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 4 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.
Question 5 of 5
What assessment data are collected to assess progress during the second stage of labor?
Correct Answer: B
Rationale: The correct answer is B: fetal descent. During the second stage of labor, assessing fetal descent is crucial to monitor progress. This data helps determine if the baby is moving down the birth canal appropriately. Fetal descent indicates the effectiveness of contractions and pushing efforts. It is a key indicator of labor progression. Rationale: - A: Fetal heart rate is important but primarily assesses fetal well-being, not progress during the second stage of labor. - C: Bearing-down effort is relevant for pushing but does not directly measure progress in terms of fetal descent. - D: Contraction strength is essential but does not specifically indicate the progress of the baby's descent in the birth canal during the second stage of labor.