ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
A pregnant patient reports nausea and vomiting and asks the nurse about ways to manage these symptoms. Which of the following suggestions should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Avoid foods with strong smells and eat small, frequent meals. This suggestion is appropriate as it helps manage nausea and vomiting in pregnancy. Avoiding strong smells can reduce triggers for nausea, and eating small, frequent meals helps maintain stable blood sugar levels. This approach prevents the stomach from becoming too full or too empty, which can trigger nausea. A: Eating large meals can exacerbate nausea and vomiting due to increased stomach distention. B: Taking anti-nausea medication without consulting a healthcare provider is not safe during pregnancy as it may harm the fetus. D: Lying down immediately after meals can worsen symptoms by promoting reflux and indigestion. In summary, Option C is the best choice as it addresses the symptoms of nausea and vomiting in pregnancy effectively.
Question 2 of 5
A nurse is assessing a pregnant patient who is at 38 weeks gestation and reports a sudden decrease in fetal movement. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C, performing a nonstress test and assessing fetal heart rate. This is the priority action because a sudden decrease in fetal movement at 38 weeks gestation could indicate fetal distress or potential complications. A nonstress test helps evaluate fetal well-being by monitoring the fetal heart rate in response to fetal movement. This test provides immediate information about the baby's condition and any need for further intervention. Encouraging the patient to drink a cold beverage and lie down may not be effective in this situation, as it does not address the underlying cause of decreased fetal movement. Asking the patient to monitor fetal movements for 24 hours could delay necessary intervention, and waiting until the next prenatal appointment could lead to missed opportunities for timely assessment and management of fetal distress.
Question 3 of 5
The nurse is assessing a pregnant patient who is at 14 weeks gestation and reports light vaginal bleeding. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Call the healthcare provider immediately to assess for miscarriage. The priority action in this scenario is to promptly notify the healthcare provider to assess for potential complications like miscarriage, which could be life-threatening to the patient or fetus. This step ensures timely intervention and appropriate management. Monitoring blood pressure and urine for protein (Choice A) is important but not the immediate priority. Encouraging rest and waiting for symptoms to resolve (Choice C) may delay necessary medical intervention. Performing a pelvic exam (Choice D) could potentially worsen the situation if miscarriage is occurring. Thus, calling the healthcare provider for assessment is the most appropriate and urgent action to take in this situation.
Question 4 of 5
A nurse is educating a pregnant patient on the importance of folic acid. Which of the following statements by the patient indicates that the teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because taking folic acid throughout the entire pregnancy is crucial for supporting fetal development, especially in the early stages when the neural tube is forming. This statement reflects the patient's understanding of the importance of consistent folic acid intake during pregnancy. Choice B is incorrect because waiting until after the first trimester misses the critical period when the neural tube develops. Choice C is incorrect as folic acid is recommended for all pregnant women regardless of family history. Choice D is incorrect because while folic acid is beneficial for fetal development, it is not specifically linked to reducing the risk of gestational diabetes or hypertension.
Question 5 of 5
A pregnant patient is at 34 weeks gestation and reports sudden sharp abdominal pain and difficulty breathing. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C - Call the healthcare provider immediately and prepare for possible preterm labor. At 34 weeks gestation, sudden sharp abdominal pain and difficulty breathing could indicate a serious complication such as placental abruption or pulmonary embolism. Calling the healthcare provider ensures prompt assessment and appropriate intervention to prevent harm to the mother and baby. Encouraging the patient to lie down may delay necessary intervention. Administering pain medication before determining the cause of pain could mask important symptoms. Assessing the fetal heart rate and monitoring for contractions are important but secondary actions to calling the healthcare provider in this urgent situation.