ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A pregnant patient is at 32 weeks gestation and reports feeling fatigued and weak. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient's hemoglobin levels to check for anemia. 1. During pregnancy, anemia is common due to increased blood volume and demands. Fatigue and weakness are common symptoms. 2. Anemia can lead to complications for both the mother and baby if left untreated. 3. Assessing hemoglobin levels will help determine if anemia is present and guide appropriate interventions. 4. Prompt treatment of anemia can improve symptoms and prevent adverse outcomes. Summary: B: Increasing physical activity may exacerbate fatigue if anemia is present. C: Resting is important, but addressing the underlying cause of fatigue is crucial. D: A high-calorie diet may not address the root cause of fatigue and could potentially worsen anemia if not properly managed.
Question 2 of 5
A pregnant patient at 30 weeks gestation reports lower back pain and difficulty sleeping. Which of the following is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B. Using a firm mattress and avoiding sleeping on the back is the most appropriate recommendation for a pregnant patient at 30 weeks gestation experiencing lower back pain. Here's why: 1. Firm mattress provides better support for the back and helps maintain proper spinal alignment during sleep. 2. Avoiding sleeping on the back reduces pressure on the major blood vessels, preventing potential complications like supine hypotensive syndrome. 3. Resting in bed with legs elevated (choice A) may not address the root cause of back pain and may not be recommended for extended periods during pregnancy. 4. Taking over-the-counter pain medications (choice C) should be avoided unless prescribed by a healthcare provider due to potential risks to the fetus. 5. Performing light stretching exercises (choice D) can be beneficial, but avoiding certain positions like lying on the back is more crucial for back pain relief during pregnancy.
Question 3 of 5
The nurse is caring for a pregnant patient at 34 weeks gestation who is experiencing leg cramps. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to perform leg stretches and elevate the legs. Leg cramps are common in pregnancy due to increased pressure on nerves and blood vessels. Leg stretches help relieve muscle tension, and elevating the legs promotes circulation. Increasing calcium and vitamin D may be helpful but not the primary intervention. Administering pain medications and applying ice may provide temporary relief but do not address the underlying cause. Frequent walking can help strengthen leg muscles but may exacerbate cramps if done excessively.
Question 4 of 5
The nurse is educating a pregnant patient about the importance of taking prenatal vitamins. Which of the following statements by the patient indicates effective teaching?
Correct Answer: B
Rationale: The correct answer is B because taking prenatal vitamins throughout pregnancy ensures the baby receives essential nutrients for growth and development. Prenatal vitamins contain key nutrients like folic acid, iron, and calcium crucial for the baby's health. Choice A is incorrect because prenatal vitamins are recommended throughout pregnancy, not just the first trimester. Choice C is incorrect as prenatal vitamins may be needed postpartum if breastfeeding. Choice D is incorrect as prenatal vitamins provide additional nutrients that may not be obtained solely from diet.
Question 5 of 5
The nurse is caring for a pregnant patient at 24 weeks gestation who reports increased vaginal discharge. What should the nurse do first?
Correct Answer: A
Rationale: Rationale: Step 1: Assess characteristics of discharge - determining color and odor helps identify if it's normal or concerning. Step 2: Based on assessment, decide next steps - presence of abnormal color or odor may indicate infection or other issues. Step 3: Implement appropriate interventions - further evaluation or treatment as needed. Summary: - B: Resting and monitoring alone may not address the underlying cause of increased discharge. - C: While tracking amount is important, it doesn't provide immediate information on potential infection. - D: Performing a pelvic exam should come after initial assessment of discharge characteristics to guide further actions.