ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A pregnant patient is at 24 weeks gestation and reports feeling nauseous after eating. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to eat smaller, more frequent meals and avoid greasy foods. This recommendation helps manage nausea during pregnancy by preventing the stomach from becoming too full, which can exacerbate symptoms. Eating smaller, more frequent meals helps maintain stable blood sugar levels and prevents hunger, which can trigger nausea. Avoiding greasy foods reduces the likelihood of indigestion and discomfort. Explanation of why the other choices are incorrect: A: Instructing the patient to take over-the-counter anti-nausea medications may not be suitable during pregnancy without consulting a healthcare provider due to potential risks to the fetus. C: Recommending the patient to rest in bed may provide temporary relief but does not address the underlying cause of nausea and may not be practical for managing symptoms throughout the day. D: Advising the patient to reduce fluid intake may lead to dehydration, which is particularly concerning during pregnancy. Adequate hydration is important for both the mother and the developing fetus.
Question 2 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and reports pain in the lower abdomen and back. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A because pain in the lower abdomen and back could indicate preterm labor at 30 weeks gestation. The first step is to assess for signs of preterm labor, such as regular contractions, to determine the urgency of the situation. Administering pain medication (B) without assessing the cause can mask symptoms. Encouraging physical activity (C) may worsen preterm labor. Instructing the patient to lie flat on her back (D) can decrease blood flow to the uterus and is not recommended in late pregnancy.
Question 3 of 5
The nurse is educating a pregnant patient at 30 weeks gestation on the signs and symptoms of preterm labor. Which of the following should the nurse instruct the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C. Regular contractions every 10 minutes or less should be reported immediately as they could indicate preterm labor. The frequency and regularity of contractions are key indicators of labor starting. Other choices, A, B, and D, are common discomforts during pregnancy and not necessarily indicative of preterm labor. Mild cramping and back pain (A), increased vaginal discharge (B), and feeling of pelvic pressure after physical activity (D) are normal symptoms in pregnancy and not urgent signs of preterm labor.
Question 4 of 5
A laboring person on oxytocin for induction of labor should have continuous monitoring of the fetal heart rate. How often should the nurse assess the fetal heart rate?
Correct Answer: B
Rationale: The correct answer is B: every 15 minutes. Continuous monitoring of the fetal heart rate is crucial during labor induction with oxytocin to promptly detect any signs of fetal distress. Assessing the fetal heart rate every 15 minutes allows for frequent monitoring to ensure the baby's well-being and timely intervention if needed. Assessing every 30 minutes (choice A) may not provide adequate monitoring frequency, every 5 minutes (choice C) is too frequent and may not be practical, and every 1 hour (choice D) is too long of an interval between assessments, potentially missing important changes in fetal status.
Question 5 of 5
During the postpartum period, a nurse is caring for a birthing person who is receiving uterotonic medications. The nurse's assessment reveals a boggy and enlarged uterus. What is the nurse's immediate action?
Correct Answer: C
Rationale: The correct immediate action is C: Perform fundal massage to promote uterine firmness. Fundal massage helps prevent postpartum hemorrhage by promoting uterine contraction and firmness. A: Documenting the findings as normal is incorrect as a boggy and enlarged uterus is not a normal finding postpartum. B: Continuing to administer uterotonic medication without addressing the boggy uterus can lead to ineffective contraction. D: Administering an analgesic for pain does not address the underlying issue of uterine atony.