ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A pregnant patient is concerned about the safety of taking over-the-counter (OTC) medications. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of consulting a healthcare provider before taking any OTC medications during pregnancy. This is crucial because not all OTC medications are safe during pregnancy, and individual health conditions can affect their safety. Choice A is incorrect because not all OTC medications are safe without consulting a healthcare provider. Choice C is incorrect as it oversimplifies the safety of OTC medications during pregnancy. Choice D is incorrect because not only prescription medications are safe during pregnancy; some OTC medications can also be safe, but it is essential to consult a healthcare provider to ensure safety.
Question 2 of 5
A pregnant patient is 32 weeks gestation and reports having trouble sleeping. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Sleep with several pillows to elevate the upper body. Elevating the upper body with pillows can help relieve discomfort from heartburn, shortness of breath, and back pain commonly experienced during pregnancy. This position promotes better circulation and reduces pressure on the uterus. Incorrect choices: A: Taking a warm bath may help relax but does not address the underlying sleep issues. B: Sleeping on the back can compress major blood vessels, leading to decreased blood flow to the fetus. D: Taking sedatives is not recommended during pregnancy due to potential risks to the fetus.
Question 3 of 5
A nurse is caring for a pregnant patient who is at 40 weeks gestation and is experiencing a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A because the sudden increase in vaginal discharge at 40 weeks gestation could indicate the onset of labor. Checking for signs of labor, such as contractions and assessing fetal heart rate, is crucial to determine if the patient is in active labor. This helps in timely intervention and ensuring the well-being of both the mother and baby. Summary: - Choice B: Encouraging rest and monitoring changes in discharge may not address the urgency of the situation. - Choice C: Performing a pelvic exam without assessing signs of labor or fetal well-being may delay necessary actions. - Choice D: While reporting to the healthcare provider is important, immediate assessment of labor signs and fetal heart rate takes precedence.
Question 4 of 5
The nurse is caring for a pregnant patient who is 32 weeks gestation and is concerned about the safety of taking prescription medications. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer, B, is appropriate because it emphasizes the importance of consulting with a healthcare provider to ensure the safety of prescription medications during pregnancy. This step is crucial as healthcare providers can assess the risks versus benefits of medication use in pregnancy and provide personalized recommendations. Choice A is incorrect as some medications may be necessary for the health of the mother and baby. Choice C is incorrect as not all prescription medications are safe during pregnancy. Choice D is incorrect as the safety of prescription medications in pregnancy is not solely determined by whether they are over-the-counter or not. Consulting with a healthcare provider is the best course of action to ensure the well-being of both the mother and the baby.
Question 5 of 5
A pregnant patient is 30 weeks gestation and is concerned about gestational hypertension. Which of the following is a key sign of gestational hypertension?
Correct Answer: B
Rationale: The correct answer is B: Sudden swelling of the hands and feet. Gestational hypertension is characterized by sudden onset of high blood pressure after 20 weeks of pregnancy, leading to fluid retention and swelling. This is known as preeclampsia, a severe form of gestational hypertension. Swelling in the hands and feet is a key sign due to fluid imbalance. Severe headache and visual changes (choice A) are more indicative of preeclampsia complications. Excessive weight loss and fatigue (choice C) are not typical signs of gestational hypertension. Frequent urination and dehydration (choice D) are not directly related to gestational hypertension.