ATI RN
Maternal Monitoring Questions
Question 1 of 5
A pregnant patient is 28 weeks gestation and is concerned about gaining too much weight. Which of the following is most important for the nurse to emphasize?
Correct Answer: C
Rationale: The correct answer is C because excessive weight gain during pregnancy can indeed increase the risk of complications such as gestational diabetes and preeclampsia. By emphasizing this point, the nurse can help the patient understand the importance of monitoring their weight gain to promote a healthy pregnancy. Choice A is not as strong because it focuses more on discussing concerns with the healthcare provider rather than the specific risks associated with excessive weight gain. Choice B is incorrect as weight gain during pregnancy should be monitored and managed appropriately. Choice D is also incorrect as it suggests limiting caloric intake, which may not be safe or appropriate for the patient and her developing fetus.
Question 2 of 5
A pregnant patient is at 30 weeks gestation and is experiencing dizziness and lightheadedness when standing. What is the nurse's first priority action?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink fluids and rest for 10 minutes. This is the first priority action because dizziness and lightheadedness in a pregnant patient at 30 weeks gestation could be due to orthostatic hypotension, a common issue in pregnancy. Encouraging the patient to drink fluids and rest will help increase blood volume and alleviate symptoms. Choice B is incorrect because lying flat on her back can worsen symptoms due to supine hypotensive syndrome. Choice C is not the first priority as checking for anemia or monitoring blood pressure should come after addressing immediate symptoms. Choice D is incorrect because immediate delivery is not warranted based on the symptoms described.
Question 3 of 5
The nurse is educating a pregnant patient who is at 36 weeks gestation about the signs of labor. Which statement by the patient indicates effective teaching?
Correct Answer: A
Rationale: The correct answer is A because reporting regular contractions occurring every 5 minutes for 1 hour is a key sign of active labor. This pattern indicates the onset of true labor and the need to seek medical attention. Explanation: 1. Regular contractions every 5 minutes indicate active labor is likely. 2. Sustained contractions for an hour suggest progression of labor. 3. Seeking medical advice is crucial for appropriate management. Incorrect Choices: B. Incorrect. Staying hydrated is important during labor to prevent dehydration. C. Incorrect. Losing the mucous plug is a sign of early labor, not an emergency. D. Incorrect. Painful contractions are not the sole indicator of active labor; regularity is key.
Question 4 of 5
The nurse is educating a pregnant patient about the importance of prenatal vitamins. Which statement by the patient indicates effective teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will take prenatal vitamins throughout the pregnancy to support my baby's growth." This statement indicates effective teaching because prenatal vitamins are essential for the entire duration of pregnancy to support the developing baby's growth and development. Prenatal vitamins contain key nutrients like folic acid, iron, and calcium that are crucial for the health of both the mother and the baby throughout the pregnancy. Taking prenatal vitamins only during the first trimester (option A) may not provide adequate support for the baby's growth during the entire pregnancy. Option C is incorrect because prenatal vitamins are recommended for all pregnant women, regardless of their family history of birth defects. Option D is incorrect because stopping prenatal vitamins after the baby is born does not align with the need to support the mother's postpartum health and potential breastfeeding needs.
Question 5 of 5
A nurse is caring for a pregnant patient at 32 weeks gestation who is experiencing severe leg cramps. What is the nurse's most appropriate intervention?
Correct Answer: A
Rationale: The correct answer is A because gentle stretching exercises help relieve muscle tension and improve circulation, alleviating leg cramps. Elevating the legs can also help reduce swelling and promote blood flow. Choice B is incorrect because while calcium is essential for muscle function, it is not the primary intervention for acute leg cramps. Choice C may provide temporary relief but does not address the underlying cause of the cramps. Choice D should be avoided in pregnancy unless absolutely necessary due to potential risks to the fetus.