ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A pregnant patient is at 30 weeks gestation and is experiencing difficulty breathing, especially when lying flat. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A - Encourage the patient to rest in an upright position. This is the priority action because the patient is likely experiencing supine hypotensive syndrome due to pressure on the vena cava when lying flat. This can compromise blood flow to the fetus. By having the patient rest in an upright position, the pressure on the vena cava is reduced, improving blood flow and oxygenation for both the patient and the fetus. Administering oxygen and preparing for delivery (option B) is not the immediate priority. Monitoring fetal heart rate (option C) is important but not the initial action. Instructing the patient to take deep breaths and stay in bed (option D) does not address the underlying issue of supine hypotensive syndrome.
Question 2 of 5
The nurse is educating a pregnant patient on the importance of maintaining a balanced diet during pregnancy. Which of the following statements by the patient indicates effective teaching?
Correct Answer: C
Rationale: Rationale: Choice C is correct because it emphasizes the importance of eating a variety of nutrient-dense foods and avoiding processed foods. This approach ensures the pregnant patient receives essential nutrients for her health and the baby's development. Variety helps cover all necessary nutrients, while avoiding processed foods reduces the intake of unhealthy additives. This balanced diet promotes optimal health outcomes for both the mother and the baby. Summary of Incorrect Choices: A: Avoiding all carbohydrates is not recommended as they are a vital energy source and cutting them out completely can lead to nutritional deficiencies. B: Eating extra food indiscriminately can result in excessive weight gain and complications. The focus should be on nutrient-dense foods, not just quantity. D: Focusing solely on protein neglects other important nutrients needed during pregnancy. A well-rounded diet is essential for overall health.
Question 3 of 5
The nurse is caring for a pregnant patient who is at 32 weeks gestation and reports experiencing frequent heartburn. Which of the following interventions is most appropriate for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This intervention is appropriate because smaller, more frequent meals can help reduce the pressure on the stomach, decrease acid reflux, and alleviate heartburn symptoms in pregnant patients. By eating smaller meals, the pregnant patient can prevent the stomach from becoming overly full and reduce the likelihood of stomach acid regurgitating into the esophagus. This approach promotes better digestion, minimizes discomfort, and supports the overall well-being of the patient and the fetus. Other choices are incorrect: A: Lying down immediately after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can further distend the stomach and exacerbate heartburn symptoms. D: Although avoiding spicy foods and taking antacids may provide temporary relief, they do not address the root cause of the issue and may not be as effective as adopting a dietary change like eating smaller, more frequent meals
Question 4 of 5
A nurse is providing prenatal education to a pregnant patient who is at 30 weeks gestation. Which of the following symptoms 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 can indicate preterm labor, which is a serious concern at 30 weeks gestation. The nurse should instruct the patient to report this immediately for further evaluation to prevent premature delivery. A: Mild back pain and cramping are common discomforts during pregnancy and may not be alarming at this stage. B: Feeling of pelvic pressure after physical activity is also common during pregnancy and does not necessarily indicate an urgent issue. D: Occasional headaches and fatigue are common symptoms in pregnancy and do not typically require immediate attention unless they are severe or persistent.
Question 5 of 5
A pregnant patient at 32 weeks gestation reports occasional dizziness when standing up. What is the nurse's most appropriate recommendation?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to increase fluid intake and stand up slowly. This recommendation is appropriate because occasional dizziness when standing up can be due to postural hypotension common in pregnancy. Increasing fluid intake helps maintain blood volume, and standing up slowly prevents sudden drops in blood pressure. Choice B is incorrect as lying down immediately may not address the underlying issue. Choice C is incorrect as complete rest may not be necessary. Choice D is incorrect as rising quickly can worsen dizziness.