ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A pregnant patient at 36 weeks gestation reports feeling short of breath when lying flat. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because positioning the pregnant patient in a more upright position can help alleviate the shortness of breath by allowing the diaphragm to move more freely, reducing pressure on the lungs, and improving oxygenation. This action promotes optimal oxygen flow and comfort for the patient. A: Administering oxygen and preparing for delivery may be necessary in some cases but does not address the immediate need to alleviate shortness of breath caused by the supine position. C: Deep breathing exercises may not be effective in relieving shortness of breath caused by the supine position and may even exacerbate the discomfort. D: Instructing the patient to take shallow breaths and avoid exertion does not address the underlying cause of shortness of breath and may not provide adequate relief.
Question 2 of 5
The nurse is caring for a pregnant patient who is 22 weeks gestation and is concerned about her weight gain. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Correct Answer: C - "I can eat for two during my pregnancy to ensure the baby's growth." Rationale: 1. Eating for two is a common misconception; the pregnant woman only needs an additional 300-500 calories per day. 2. Overeating can lead to excessive weight gain which may pose risks to both the mother and the baby. 3. The statement does not reflect an accurate understanding of healthy nutrition during pregnancy. Summary of Incorrect Choices: A: Choosing to gain 1 to 2 pounds per week aligns with healthy weight gain during pregnancy. B: Avoiding excessive food intake is an appropriate strategy to prevent excessive weight gain. D: Maintaining a healthy diet and regular exercise are essential for supporting a healthy pregnancy.
Question 3 of 5
The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?
Correct Answer: A
Rationale: The correct answer is A: Regular contractions every 10 minutes or less. This is a key sign of preterm labor because regular contractions at this frequency could indicate the onset of labor before the full term. Contractions help to thin and dilate the cervix, leading to the birth of the baby. Decreased fetal movement (B) is a concerning sign but not a definitive indicator of preterm labor. Mild cramping and back pain (C) can be common in pregnancy and may not necessarily indicate preterm labor. Increased energy levels and appetite (D) are not typical signs of preterm labor, as the body usually shows signs of preparing for labor rather than increased energy levels.
Question 4 of 5
A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?
Correct Answer: B
Rationale: The correct answer is B: Use a firm mattress and avoid sleeping on the back. This recommendation is appropriate because during pregnancy, the weight of the uterus can compress blood vessels when lying on the back, causing back pain and affecting circulation. Using a firm mattress can provide better support for the back, relieving discomfort. Avoiding sleeping on the back reduces the risk of decreased blood flow to the fetus. A: Rest in bed and avoid any physical activity is incorrect because it can lead to muscle stiffness and worsen back pain. C: Taking over-the-counter pain medications may provide temporary relief but does not address the root cause of the discomfort. D: Applying heat to the back and practicing good posture are helpful strategies, but avoiding sleeping on the back is more crucial to alleviate the symptoms in this case.
Question 5 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.