ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A pregnant patient is concerned about preeclampsia, as she has a family history of the condition. Which of the following should the nurse prioritize in monitoring this patient?
Correct Answer: A
Rationale: The correct answer is A because preeclampsia is characterized by high blood pressure and proteinuria. Monitoring blood pressure and urine for protein is essential for early detection and intervention. Choice B is incorrect as abdominal pain and nausea are not specific symptoms of preeclampsia. Choice C is incorrect because excessive fluid intake can worsen preeclampsia. Choice D is incorrect as rest alone cannot prevent or manage preeclampsia. Prioritizing blood pressure and urine monitoring helps identify and manage preeclampsia efficiently.
Question 2 of 5
A pregnant patient who is 28 weeks gestation reports a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess the discharge for characteristics such as color, odor, and consistency. This is the priority action because sudden changes in vaginal discharge during pregnancy could indicate a potential infection or other complications that need to be promptly addressed. By assessing the characteristics of the discharge, the nurse can gather important information to determine the appropriate next steps, whether it requires immediate medical attention or can be managed with monitoring. Choice A is incorrect because simply using a sanitary pad and monitoring for changes does not address the underlying cause of the increased discharge. Choice C is incorrect as rest alone may not address the potential issue with the discharge. Choice D is also incorrect because while contacting the healthcare provider is important, assessing the discharge first provides crucial information for a more informed discussion with the provider.
Question 3 of 5
A nurse is educating a pregnant patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because placing the baby in the same bed increases the risk of suffocation, Sudden Infant Death Syndrome (SIDS), and other sleep-related accidents. Co-sleeping is not recommended due to the potential hazards. Choices A, C, and D are safe sleep practices. Placing the baby on their back reduces the risk of SIDS, keeping soft bedding out of the crib prevents suffocation, and tummy time is beneficial for the baby's development when they are awake.
Question 4 of 5
A nurse is caring for a pregnant patient who is at 36 weeks gestation and reports that her baby has not moved as much as usual. What should the nurse instruct the patient to do first?
Correct Answer: A
Rationale: The correct answer is A: Lie on her left side and drink a cold beverage to stimulate movement. This is because changing positions can encourage fetal movement due to the change in gravity and blood flow. Additionally, the cold beverage may stimulate the baby to move. Option B suggests resting without actively trying to stimulate movement, which may delay necessary action. Option C advises immediate contact with the healthcare provider, which could be an overreaction at this stage. Option D delays action and may not address the immediate concern of decreased fetal movement.
Question 5 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports feeling dizzy when standing. What should the nurse recommend to the patient?
Correct Answer: D
Rationale: The correct answer is D. When a pregnant patient feels dizzy, it can be due to postural hypotension. Rising slowly helps prevent a sudden drop in blood pressure. Standing for long periods can worsen symptoms. Option A is incorrect as standing up quickly can exacerbate dizziness. Option B is incorrect as cold beverages do not address the underlying issue. Option C is incorrect as lying flat on the back can decrease blood flow to the uterus.