ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 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 2 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.
Question 3 of 5
A pregnant patient at 24 weeks gestation is concerned about gestational diabetes. Which of the following is the most important aspect of managing this condition?
Correct Answer: A
Rationale: The correct answer is A: Increasing physical activity and monitoring blood glucose levels. This is because physical activity helps improve insulin sensitivity and manage blood glucose levels in gestational diabetes. Monitoring blood glucose levels is essential to ensure they are within the target range for both the mother and baby's health. Administering insulin (B) may be necessary in some cases but is not the first-line approach. Eating larger meals (C) can lead to higher blood sugar levels and does not prevent hypoglycemia. Limiting fluid intake (D) is not recommended as it can lead to dehydration and does not directly impact blood sugar fluctuations.
Question 4 of 5
A pregnant patient at 32 weeks gestation reports swelling in the feet and hands. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 32 weeks gestation, swelling in the feet and hands can be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. Monitoring blood pressure is crucial as elevated blood pressure is a key indicator of preeclampsia. Assessing for other signs of preeclampsia such as headache, visual disturbances, or upper abdominal pain is important for early detection and management. Prompt intervention is necessary to prevent complications for both the mother and the baby. Choices B, C, and D are incorrect because while elevation of feet, rest, hydration, and reducing sodium intake are important in managing mild swelling during pregnancy, in this case, the priority is to rule out preeclampsia which can lead to severe complications if left untreated. Assessing for blood clots or deep vein thrombosis is also important but
Question 5 of 5
A nurse is educating a pregnant patient about the importance of iron supplementation during pregnancy. Which statement by the patient indicates effective teaching?
Correct Answer: A
Rationale: Rationale: Choice A is correct because taking iron supplements daily, even if feeling fine, ensures the patient maintains adequate iron levels throughout pregnancy. Iron is crucial for the mother and baby's health, preventing anemia and complications. Choice B is incorrect as waiting for hemoglobin levels to drop may lead to deficiency. Choice C is incorrect as iron needs remain high throughout pregnancy. Choice D is incorrect as symptoms of anemia indicate an existing deficiency rather than prevention.