ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?
Correct Answer: B
Rationale: The correct answer is B: Use a firm mattress and avoid sleeping on the back. This recommendation is appropriate because during pregnancy, the weight of the uterus can compress blood vessels when lying on the back, causing back pain and affecting circulation. Using a firm mattress can provide better support for the back, relieving discomfort. Avoiding sleeping on the back reduces the risk of decreased blood flow to the fetus. A: Rest in bed and avoid any physical activity is incorrect because it can lead to muscle stiffness and worsen back pain. C: Taking over-the-counter pain medications may provide temporary relief but does not address the root cause of the discomfort. D: Applying heat to the back and practicing good posture are helpful strategies, but avoiding sleeping on the back is more crucial to alleviate the symptoms in this case.
Question 2 of 5
A pregnant patient is at 34 weeks gestation and reports frequent headaches and visual changes. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. At 34 weeks gestation, headaches and visual changes can be signs of preeclampsia, a serious pregnancy complication. The nurse should first monitor the patient's blood pressure as elevated BP is a key indicator of preeclampsia. Assessing for other signs like proteinuria and edema is crucial for early detection and timely intervention. Encouraging rest and fluids (choice B) may not address the underlying issue. Administering pain medication (choice C) only masks symptoms without addressing the potential serious condition. Scheduling an eye specialist appointment (choice D) is not the priority as the symptoms are more indicative of a systemic issue like preeclampsia.
Question 3 of 5
The nurse is providing prenatal education to a pregnant patient at 24 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor and when to call the healthcare provider. This is the most crucial topic to prioritize at 24 weeks gestation because preterm labor can have serious consequences for both the mother and the baby. By educating the patient on the signs and symptoms of preterm labor, such as abdominal cramping, backache, or vaginal bleeding, the nurse can empower the patient to recognize these warning signs early and seek prompt medical attention, potentially preventing preterm birth. Choice B: Breastfeeding techniques and infant care, and Choice C: Postpartum care and family planning options are important topics but are more relevant for later stages of pregnancy or after delivery. Choice D: Managing pregnancy-related fatigue and morning sickness is also important but is generally not as urgent as being aware of signs of preterm labor.
Question 4 of 5
A pregnant patient at 28 weeks gestation reports severe heartburn. What is the nurse's most appropriate recommendation?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This recommendation helps prevent overeating, which can contribute to heartburn. Smaller meals reduce pressure on the stomach, decreasing the likelihood of acid reflux. Eating more frequently also helps maintain stable blood sugar levels, which can further alleviate heartburn symptoms. Explanation for other choices: A: Over-the-counter antacids may provide temporary relief, but taking them regularly can lead to potential risks during pregnancy. C: Lying down immediately after eating can worsen heartburn symptoms as it allows stomach acid to flow back up into the esophagus. D: Drinking large amounts of water with meals can dilute stomach acid, but it may also distend the stomach and increase pressure, leading to heartburn.
Question 5 of 5
The nurse is caring for a pregnant patient at 36 weeks gestation who reports sudden, severe headache and blurred vision. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because sudden severe headache and blurred vision in a pregnant patient at 36 weeks gestation are potential signs of preeclampsia, a serious condition that can lead to complications for both the mother and the baby. Monitoring the patient's blood pressure and checking for signs of preeclampsia is crucial for early detection and timely intervention. Administering pain medication (choice A) may mask symptoms and delay appropriate treatment. Encouraging rest and fluids (choice C) may not address the underlying cause of the symptoms. Scheduling a follow-up appointment (choice D) may delay necessary immediate actions to address potential preeclampsia.