ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.
Question 2 of 5
The nurse is educating a pregnant patient about the signs of preterm labor. Which of the following should the nurse include in the teaching plan?
Correct Answer: A
Rationale: Step 1: Frequent, regular contractions every 10 minutes or less are a key sign of preterm labor, indicating the uterus is contracting and potentially dilating prematurely. Step 2: This pattern of contractions can lead to preterm delivery and requires immediate medical attention to prevent complications for both the mother and the baby. Step 3: Decreased fetal movement and back pain (Option B) are not specific signs of preterm labor but can indicate other issues that need evaluation. Step 4: Mild cramping and occasional vaginal spotting (Option C) can be normal in pregnancy and may not always indicate preterm labor. Step 5: Headaches and blurred vision (Option D) are more indicative of conditions like preeclampsia rather than preterm labor.
Question 3 of 5
A pregnant patient is at 24 weeks gestation and reports feeling faint and lightheaded. What should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C because getting up slowly and taking small sips of water throughout the day helps maintain blood pressure and hydration, which can improve symptoms of feeling faint and lightheaded during pregnancy. Lying down immediately (choice A) may not address the underlying issue of potential low blood pressure. Taking deep breaths and drinking a cold beverage (choice B) may not address the need for increased fluid intake and gradual position changes. Sitting upright and monitoring symptoms (choice D) may not actively address the immediate need for hydration and blood pressure management.
Question 4 of 5
A pregnant patient is 26 weeks gestation and is concerned about gaining too much weight. What is the nurse's most appropriate response?
Correct Answer: C
Rationale: The correct answer is C because excessive weight gain during pregnancy can lead to complications like gestational diabetes and preeclampsia. As the nurse, it is important to educate the patient on the risks associated with excessive weight gain. By highlighting these potential complications, the nurse can emphasize the importance of monitoring weight gain and making healthy choices. Choices A and B are incorrect as they do not address the risks of excessive weight gain. Choice D is also incorrect as it suggests limiting caloric intake, which may not provide adequate nutrition for the growing fetus. It is crucial to educate the patient on the importance of a balanced diet and healthy weight gain to promote a healthy pregnancy.
Question 5 of 5
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with gestational diabetes. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B because educating the patient about safe exercise and nutrition practices is crucial in managing gestational diabetes. Exercise and proper nutrition help control blood glucose levels and reduce the risk of complications for both the mother and the baby. Monitoring blood glucose levels and administering insulin (choice A) are important but not the priority at this stage. Avoiding all carbohydrates (choice C) is not recommended as balanced carbohydrate intake is essential. Regular ultrasounds (choice D) are important but do not directly address managing gestational diabetes.